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HomeMy WebLinkAboutPermit Electrical 2001-1-4 The following project as s~bmitted has the following luning. and does not'require speciflc land .u~e approval . Zoning 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ~ UftJ7 I-O'i_Oj h~.~~r~~~ ~r9nature r:t\ . 3. 1. LOCATION OF INSTALL4TION~ /'11-/2. 5. fr <.:> LEGAL DESCRIPTION /7033632. QLfgO'f JOI} DflSCRIPTION 'I....,,-b>.( \ l.(oo A""", '> ~,J.4st'; Sf!.vc.... , i Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or i f ~ork is suspended for 180 days. ". :2. CONTRACTOR INSTALLATION ONLY' .D. EJ..ectrica1'.C6nt~actol'.c~'SE ledYI'c.., \~C . Address p,o. 1601 \ l\ ~:2- . . . , 'city~l){i \'\86r1d..' p~on~-NI-~2;31o 'Supervi"'Jr. License'.Number. JIo ~, ~ ..ExpirationDate '\O"o!-Ol 'Const.rContr. Number '3,?Lj.CJ ." . Expiratiqn Date. . . C)-;DI~02- . . '''. . ," f suptrnician . 14/&tCD Address 41.( D '. e- . 7?ro~"f Ci ty t::::uG-t:7Yc? Phone b~3' 7061 'O~R'INSTALtATION . The initallation is being made on . property I o~n ~hi~h is not intended for sale, 1ease'or rent. 'Ovners Signature: DATE~ K.t.uui>l R: RECEIVED BY: 0/0<-(01 <-/172- 71'>13 ELECTRICAL PERMIT APPLICATION . . . . . City J~b Number b 0 - 002'6,,-.0 ( COMFLETE 'FEE SCHEDULE DELOY A. Ne~ Residential-Single or Multi-~amily per d~elling unit.. Service Included: It ems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'D~elling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps I 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Sum $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60.00 bO $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 volts D. Branch Circuits .Nev, Alteration or Extension Per Panel " $ 40.00 $ 55.00 $ 80.00 see "B" above One Circuit $ 35.00 Each Addi tional Circuit or ~ith Service or Feeder Permit /0 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting----- Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7%'State Surcharge 3% Administrative Fee TOTAL 20 not included) $ 40.00 $ 40.Q9 $ 20'~i- $ 36: 9:9=i:? n1 rr1 0') ~ ....co .. *" L 1;1) <-t::J Lj -. 'J""l ......,....,_~ ~6-f<JZI-' I ~~<;;::>~ ~r;[FC) -=~ em- el-L O"""eO'-:J ~--O'~I"-.J