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HomeMy WebLinkAboutPermit Electrical 2001-10-1 . DEvaOPMENTSERWCESDE~RTMENT 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 3..:>..:>Cj ('~-,WI~~ S+ LEGAL DESCRIPTION 1702..31 Z-I o1.o-oe JOB DE~CRIPTION / . . (z ') 2eo IJw.f '> e- 26 c..., rc.........-;:4-s -- I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor 't)"tttlf ~lP~ Address LlO '54 sr~ ld, 'SOD......, ~tl-4iJ--" Phone '7tl1-l77.tt, LIlliS Lo .. 0 , -0 I "f...D -lj lfU City Supervisor License Number ~,. Expiration Date ConstrContr. Number Expiration Date I 0 ~t'}l -0 I ' . . Si~~ture of Supe~ing Ele rician ,( [) VJJl..J \ => \ - - ers 'Name k-t /~ C-Ie-t; L Address J 7 SS-l> }-/,"'//5 Cret:f ~. Ci ty spr';71 '~tJ Phone 7l1b' S~ZO , ) OWER INSTALLATION D. The installation is being made on, pioperty I own which is pot intended for sale, lease or rent; E. Owners Signature: --------------------------------------- 5~ DATE: ' RECEIPT #: RECEIVED BY: . SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 ELECTRICAL PERKIT APPLICATION, Ci ty Job Number 01-:00373.- 0 ( 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less. Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 t B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less , ,:, 2.- 201 amps to 400 amps .; 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 ICSO $ 60.00 ' $100.00 $130.00 $300.00, $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 ,amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000, $ 40.00 $ 55.00 '$ 80.00 volts see"B" above Branch Circuits New, Alteration or Extension Per Panel' One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit 2-0 $ 2.00 L/D ," Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE '7% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ /'10, ~5'1~ 40 . 00 ' 40.00 20.00 36.00