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HomeMy WebLinkAboutPermit Electrical 2001-3-16 ,.. , The following project 8S submitted h~.S e . . d does not require specIfic land US~ zOning, an . approval. ,tJ,. ZOning IJ, / Iv. 0 i <1')0 1.. LOCATION OF INSTALLA~I N . 1"-5"~ ~,!,.J7# /t ~..&r .. .,. 1". - .' _ . LEGAL DESCRIPtION pA-::?~.#~. ~~ . ..JOB D~CRIPTION .,/". ..:. ...:1. 1000 sq. ft. or less ij~L.4~N7"5.~. iW",~~~Each additional.SOO . '. .:. sq. ft or portlon Permits ~re non-transferable a~d expire thereof if work is not started within.180 days Each Manuf'd Hom& or of: issuance or. if work is suspended for Modular. .Dwelling 180 days. .. . . Service or Feeder 225 FIFTH STREET Date. SPRINGFIELD, OREGlIllithllr7>\lilpignaturo INSPECTION REQUEST: 726-3769 OFFiCE; 726-3759 . ',!, 2. CON.TRACTOR INSTALLATION ONLY .B. :Electrica1Contractor(\'SE lec1YI'G \~ . Address p,D.\3c'j..lq~:2- . . ... Ci ty~, \"\Shf'ld. P';one iLl ,1-223~ ' Sypervisor License Number JIo~ I S Expiration Date \O-nl-O l Constr Contr. Number.. .,3,?LI.q. Expiration Date 0-01-02 SittL ~lectrician owts Name~~~~D. Address /~/. ~1;Y t"'T Ci ty~p.-n 6lfJf. Phone 72~.;::z,~,?", ~~R '~STt{j'?r?N . The installation is being made on . property I own which is not intended for sale, lease or rent. 900:~a~~ Signature: :39N\JH::J . . QO'06~ $ Z:~~1~ IWH 1006 9f-~~~--,-------------------~----- 989iJOfJ(}Tm; lIC:N!1~1 . RECE'l:PT ~: . RECEIVED BY: ELECTRICAL PERMIT APPLICATION 3. Ci ty Job Number OJ-<<r2.ILJ.Lj! COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit.. Service Included: Items Cos t Sum $ 85.00 $ 15.00 . $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.tO $100.00 $130.00 $300.00 $ 40.00 ,. C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps. 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 :z.. $ 40.00 ~- $ 55.00 $ 80.00 volts see llB'1 above Branch Circuits .. New, Alteration or Extension Per Panel ~ $ 35.00 ~ One Circuit Each Additional Circuit or with Service or Feeder Permit ~'3 2.00 ~...... $ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE IdG/. ~ 7% State Surcharge ..-11.47 3% Administrative Fee q,~? . TOTAL .127. L t?