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HomeMy WebLinkAboutPermit Electrical 2002-12-11 ~QG/23t.02 THU 08:48 FAX 5417~89 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPEcrION REQUEST: 726-3769 OFFiCE: 726-3i59 . . . CITY OF SPRINGFIELD Iai 001 . ELEcnuCAL PERMiT APPUCATION CilyJobNumber tzt:..tFZub2.-001 SJ 3. COMPLETE FEE SCHEDULB BELOW 200 amps or less 201 arnpst04~0 s 401 .mp~to 60 I amps l~ lps Over 10 !!!l!i Reco~ I~ __ ~';: ~ ~v c':<,.-li:~mcr; Services or Feeders .~~"iI~, Allcration or Relocation ~.~ '2::J"f- ~..# '\)~~;'r less ~ ~ & ~h~s to 400 amps - ~ '2::J~&~~~~40110600amps ~~ ~ ~ ~~er 600 amps 01 1000 volts see - ~ (;;}~ ~ 'B" above "..s>.,~ .-<: ~ ~ ,( ..','<., ,,: ~ D. Braneh Circuits .-} J':v (~.~ GJ 'Q~ SPRINGFIELD UTILITY BOARD New Alteration or Exg:iUio~ ~ir ~~W; 0 . _ ~.~~I 'oJ P . r;~: ~ ~. "<')~..ll_.J;.c::-) One CU'Cwt ",--' ,~v, -,)<,,~' $43,00 43.00 .( ,- " '. {..J .."- . - ...v ."~ ('i' - r CS'" C. ,_,..-, . .~. Each Additi'l.nalC~~)uI\>r'~!liService ~ or Feeder !~t - .... (,', i'/ _r> . ~;' (I~.$ 3.00 . ..;;;:.:: 1'- "'J (!.:......:^...J r. . f'~' ...0 {J..- ~ ,.;. ..,- r r"'1~ E. Miscellaneous,(Servlee/reeder, nnt Included) ..EachmstalliiHOti' _,cJ',,,r;' ,pf.. ,~. .. ,. ,. - ... O. <, P. ...., .'-~. rh', (,,' 0' ,'- . ,...ump~or ~ on" (j n..J .. I Si~Outline'i.ighting -.<' > .. ..,> , '-\. - --.. ,Q Li"!!.lCd,F,nergylRCs ",,-0 ; Limited'Enc'rgy/Comin~C .:.J f..f'- (;:-v '- '-' ,:)' Minimum Elettric Permll Inspection Fcc Is $45.00 + Surcharges I. LOCATIONOFINSTALLATION 250 S. A STREET A. New Residential-Single or Multi-Family per dwelling unit. s..~iee Inelnded: ,t.' ,d-'o e . \f'0 o"~ ~" ,or' JOB DESCRIPTION , ,J>'<:' ,~\V . 1000 S orles. ()FFTr.l<C RATIlR()OM R"1'ODEL ~~ "Q0V iIdi' al500 . g''?;\0o..''\\ orti PencilS are non-transfl:Iable and expire Q. l~\~ ~Q\ ~ J . if work is not started within 180 ~\"~ ~Il<:i If/./ of issuance or if work is susp~,!F:<:I ~ ,,0 180 days. '~o"\\~o"i;-' '1.~~<;</l ' . Service or Feeder ~QQ '<' '" ~ , _0>>-$ 2. CONTRAcrOR INSTALLATION 0 <:?,""'" B. Service. or Feeders ~f<>,-.e ~\~e?- InstaUation, Alterations or Electrical Contractor SCOFIELD ELBe'fRIC CO Relocation, LEGAL DESCRIPTION n035'5"',,",7 02700 Address P() R()X-2lli City 1<C11r,F,NE. q 7J&2. Phone 686-8612 Supervisor License Numb'er 508-S Expiration Dale .....lll.L1J ()[, Constr Cantr. Number 38702 Expinl.tion Dale 12/21105 Signalure or Supervising Electrician ~~ r Owners Name. Address 250 S. A STREET City SPRINGFIELD Pbone OWNER INSTALLATION The iostallation Is being made on property J own whicb is no! intended for sale, lease or rent Owners Signature: 4. SUBTOTAL OF ABOVE ,7% Slate Surcbarge 8% Administrative Fee TOTAL Items CoS! Sum $106.00 $19,00 $ 50.00 __ $ 63.00_ $ 75.00 $125.00 $163.00 $375,00 $ 50.00 $50.00 $69,00 $100.00 $50.00 -- $50.00 _$25.00 _ $45.00 45.00 3.15 3.60 51. 75