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HomeMy WebLinkAboutPermit Electrical 2002-10-15 225 FIFTH STREET SPRINGFIELD. OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 . ELEcaAL PERMIT APPLICATION City Job Number EL~ ZOO z...- 06) I g 3. COMPLETE FEE SCHEDULE BELOW 1. LO~ATION OFAIN.5.TALLATION J '-Ie:; IIJ I~ ~ t . A. New Residential-Single or Multi-Family per dwelling unit LEGAL DESCRlPTION Service Included: /70 ~ 353 Z Tlo.~~;~:%;or' .< submitted has the following zonmg, and does not require specific land use JOB J;lESCRlP1!ON appr~v,1 C,.e... 1000 sq.ft. or less 1 Y1 S-f7:( I ( c::e.1'))/'I1 ~oning :'::o:I1.adllitional 500 Date .J, 1tJ/ 15 - 0'2- sg. ft or oomon Permits are non-transfernble.1md eXllire f(vV thereof if work is not started ~~l\t61~<fs~ngn~ture .ccu.;ll !vli:wuld Home or of issuance or if work is suspended for Modular Dwelling 180 days. Service or Feeder Items Cost Sum -. v $106.00 $ 19.00 $ 50.00 2. CONTRACfOR INSTALLATION ONLY Electrical Contractor . ~ r+vo. I Addres(l tf~ GandfJt ,,-fUI'1' J;;,/a.nd tV-.-. City ~L{QJ' fl'1..L Phone LflD ir S(pr g (J- Supervisor License Nwnber I /jl{q - R rr Expiration Date I 0 ( I /0 Z. Constr Contr. Number (oC; I <-14 I/) ( 'l.5?'J () '-I B. Services or Feeders Installation, Alterations or Relocation: Address:))O jJC;X 70ci 200 amps or less $ 63.00 201 amps to 400 am~~S\le\U~le~"t\U$ 75,00 = 401 am~~~~~paU\lO\ ~'\\~ $125.00_ 601~~ ,\\WO~'blUa:>aU\ ~t))3.00 ,~~~~ ~~l ~o"''llUlt\~0I~6.00= UO~~ S dO~U\'ll~ o-\.Oo-~~.~aro.oo_ a~?\I'~aU\\O ri{\OlU\O\.~a~ao\) niN\O\\O\ C. 'Ii"",.",".' Of~oO'll'De~ a~'" I~ft as ~e1liIRiCU~ l~'~O\l.~ q\lO\ \! uofla10 fl''ll\ UOflEl : t:al,\o.~.~l ~ $50.00 _ 291l~s to 400 amps _ $69.00 _ Over 401 to 600 amps $100.00 Over 600 amps or 1000 volts see . "liB" above , ~'\j~~ L'" D. Branch Circuits . """,,)i~~ '8a~'\j'\ f.C. New Alteration o~?~~ ,c#.l ~\.\. ~ ~~ \>~ ~\) ~~ , f\,,\\C~ne.r;:tr~ ~~~ ,'(/ .~'\j'\j~ _ $43.00 _ ~v ~\l>~\'- ~~v ~'Ol"" ,~\~ ~~t.~~T~:'t or with Service, ~~'\ ~~'\I\)I"., '$3.00 Sl~~.~~ '\j~ ' - - E. ~eous (Service/feeder not included) -Each installation Pump or irrigation SignfOutIine Lighting Limited EnergyfRes Limited EnergylComm $50.00 $50.00 $25.00 -L $45.00 '-IS 00 Expiration Date Signature of Supervising Electrician 2~1:J2~/ ' ers Name:..s1-"I~ ?Att[' lJio'Y. City C:V f- Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent Owners Signature: Minimum Electric Permit Inspection Fee is $45.00 + Surcharges } LL-. og 5. SUBTOTAL OF ABOVE 7 d 7% State Surcharge 8% Administrative Fee TOTAL