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HomeMy WebLinkAboutPermit Electrical 2002-7-26 225 FIFTH STREET SPRINGFIELD OREGON 97477 INSPECTION REQUEST 726-3769 OFFICE 726-3759 ~ ELE~ ,dCAL PERMIT APPLICATION Clt~ Job Numhu 02 - oog8'6 ~ 0 ( 3 COMPLETE FEE SCHEDULE BELOW LOCATION OF INSTALLATION 33l..L,. Cke.vD~~ A Ne" Remlcnll.lI,Smgleor Mult.-F,lmlly per d"ellmg Unit LEGAL DESCRIPTION ServIce Inlludul I S<O l C-:> h z. I C>Q_bO a Itcms Cost Sum -", u.1Uwmg zonmg a.nd dPro/ecr as SUbrnltt JO~ESCRIPTIOI'l.. approval oes nOI reqUIre s_~,a'flollmiflfjj ~106 00 j,;.~",,,,,, POv!.e,f .':l,,,,, Lf)vz.. Edel, ,;a[\~1/fflih1500 / Dat V - sq It or portlOn Pel mils are non-transfer"ble and e,pIre 7- b -0 Z. hCleot $ 1900 If \\ork ]5 not started wltlull 1801t*~r/zeC1 SIgnature -lame or of Issuance or If work IS suspended for lar DwellIng 180 dd\ s ServIce or ee er $ 50 00 2 CONTRACTOR INST ALLA TION ONLY B Slrvlee, 01 Flulel S I Inst"lI,ltlOn, Alter'ltlOn~\O:l.'l Eleetneal Contractor C /AN'tS Ii< d(~ l. r~'G Reloe,lllOn ~\<,0<i;> f>\\J\~~o~" ~ \ I ~ \eOl. ~eQ,o 'be\ >:J'V Addless '3333:I1 T 0'1 II wllo iCo 200 "ml~\~i'{<\eO e,=-~e <?J"::fl-.<::J 'Qi H3 00_ 20i <!)\fPse!)'ll1'lo i\l1I~ Oty..'<- e (U\#"-'- $ 75 00_ \'~1<J1 ,w~\,,\&\\Wa8~" o'~ ~"O(:l')~$125 00 (\ "'~ uftft "?i!Jlj)S\!R.~~< 1l,~'" e \e\\~\~ $163 00 = I" ~O~\ f6",<;'J~~0}M\\~ldY~e ~ ~~o t37500 ,o"_~\"iI~~h)')e~~'t ~ \J\~\ rt.r:,IJ<b.'~ $ 5000 = ~o~t>-'" .J OU <$''<> "e~\J(\te~o~O'.rg,'l: C'(\-r;~lO)'.~'ci'b~ec's'!l{,~del , ml,t..~f.O!N\l\)t(\MtThn or Reloe,llIon v ~'O'" (ft(\ v <.'<\~ ~ 200 .Imps or less ~50 00 / 201 amps to 400 amps ,,""~~~6900- O\cr 401 to 600 :ll~\~~~o.,~~ \'::l ~'-~100 00 = O~ 600 aJ~~'I?:.';:,~~~*~ ~ ~~,\\$j ~~~~ ~~\)~v. ~~\>.~\)()~ D o.~\~~\1,~~~ (}~ \~ ~. \>'\}1~~'rllr~I\\~~nSlOn Per Pdllel c,(j 'J..'O'U \) \Iol~Clfelllt _ ~43 00 CIty c.:,~ uJ..(.( ( Phonc 8!lS' - 3G.<-,0 32":;?-;>?S SupervIsor LIcense Number ~- ~ E,pnatlOll Ddtc IV / m ( 104 l . \ "'2.3 77 101 '" lr>1,-- , Constr ContI NU111bcI E'\.puatlOl1 Date SlgJ1.lhll c of SUJlLll l~lllg ElcctllLl.lll c- If: -L-! 17,- ~// ./ O"lIel' N.Illie_.~ e.!.~. t:'.ev w ll~ Addle" 33.<-'{; d€.V'o\(~ Clt) <:;'f'YI~.\;'~ Phone 7'LC,-3.'tsz... OWNER INSTALLATION The lIlstdllatlOn 15 bemg made on prOperl\ 1 O\\n \\lllch IS not llltelldcd for sale ledse or rent Edeh AddlllOnal CIrCUIt or \\Ith Scrvlee or Feeder PermIt $ 3 00 E l\hslLll.meou, (Servlce/feedel not mLluded) -Each mstallatlOn Pump or IrngatlOn $5000 SlgnJOuthne LIghtmg $50 00 0" 1I11' Slgndtul n Llllllted Ellergy/Res 'j;25 00 ~ /~~~Li.4-- LlImtedEncrg\/Comm Q500 t90'(r.Jllic;ii:J ~"R-e&: ~ ~J_jJ,-{J 1\I1Illlllllm Electtle Pelmlt ImplctlOll Fcc" S45 00 + Slllcll.llge' ~~N\i'1:J ,...-' "IV ~ { -, C;' $ G :a;j~ l\<v 19-r- .\~\.p-4fI.V' (b~ 4 SUBTOHL OF ABOVE s-o 1,00, 9:: lOr.31\JG 7% St.lteSUllb,nge 3'50 6S00 COO.. ro :jtSNoOl 8% AdnllIll,h atl\e Fee '-100 TOTAL ~~ ~