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HomeMy WebLinkAboutPermit Electrical 2002-10-15 ._09~~3/02 FRI 13:22 FAX 5417~4IIi89 CITY OF SPRINGFIELD . Iai002 22S rll' In STREET SPRlNGFIELD, OREGON 97477 lNSPECTION REQUEST: 726-3769 OFFICE: 716-37 S9 ELECTRICAL PERMIT APPLTCA nON City Job NUmber I::t.e ZOOl..-OO 1/7 3. COMPLETE FEE SCHEDULE BELOW 1. LOCATlONOFlNSTALLATION . . 00Ii:Q (1arne 'to.\"M I?d 5ori'Y1e)tiel(;\ C>>2(n~17 A. New Residential-Single or . - ' Multi-Family per dwelling unit. LEGAL DESCRIPT!~N _ " '.,. _ A.. d nas lno \S~2hncluded: C /703'2-Ztl Z>z:~ <liee' assubmll\.peeilie 'and use Items Cost . Sum - v "\1eto\\OW\~g~~es n~\-.eQU\fe 5 JOB D~CRIPTlON 19nin9. an (J)(I..- . or less $106.00 \1\'&m,U~tl\iYI flr lV\tiIJ~v t '0 Ba .. SOO [)~s.'l'~ Permits are n...._.....sfaablc 8l'4""";'" ~11__..~, " $ 19.00 ifworlds not started within It'O~r.',zeo 519nalU,e Each Manuf'd Home or of issuancc or if worlt is IUSpcdl!l!ltiin- Modular Dwelling 180 days. Service orFe<:dt:r ~ $ 50.00 2. \.ov,uMCI'ORINSTALLATIONONLY ,,~A B. Services or Feeders \ ~l Co()'\(YI!J(\\C"-tiOfl W"''' Installation, Alterations or Electrical Contractor... c,{Wr, ~ ~s.l.(:ms. Relocation: Address IDID 1\1i(\1'\ Q- -If-U> 200 amps orless $ 63.00 B\,X;lCl\le, D't. 201 amps to 400 amps $ 75.00 - CilV '\14bt_ Phone 91\- YtS- (Jbllt> 401 amps to 600 amps 'lO\)~ $125.00_ '1I,r-=. 601 amps to 1000 amps ~\,eS \)'\\\\\~$163.00 Supervisor License Number .t-lt'VJJL..e , Over 1000 ampslv~e~,~o{\ ,,;::' \0 .$375.00 == l I fl~^~ ''0 oTI.'Ux. Reconneol~~ \'{\e e,e ,~~V~50.oo Expiration DatejQ 9101.. t'-U\ lJ..W\ ~~'Q'l e~e~\l-~gJ \)\e'" - - . J . ~"'\ ~~<Si'F~ o{\e Constr Com. Nuinber (111 Lt l . ~€~%~ ~O~~~~~0-\\o{\ I I D4 \o\\O~",\\o{\ ~\JJ i\{\co ~a..\'{\e ~o\~~ ExpirationDate 11 ~\o\\\'ooo~<1Md9\! ~.~o \)\~\~ '!J6.'1. SSO.OO_ , / \' ~~rt8~~,~~o{\ ~'l:?; $69.00 Signature of Supervising Electrician \{\ ~~erJ.ij\'fG~~_'O()~)-'3 = SIOO.oo = () ~608t~~W.\1000 volts see "~\.aS~ Ce~ fYI M"l> NOJ ~ ~ Chltctts. D. Branch Circuits OwncrsNamc ~II. Ctntt'd New Altcration or ExtcnsionPer Panel Address 11 00 Nt> ~ 'f wtCt One Circuit $43.00 cl ql' -- City ~lOJ1tl t Ph~J~:.5P~g-~~~~rlditiOnalCircuitorwithService ~ ,\~~1; Permit $ 3.00 OWNER INSTALLATION \~~ \\ ~~ \ - - The installation is being made on ~\. ~i-'? ~S '?~~ ~~~sc.".npous (Service/feeder not Included) propertylOWllwhidisnol~ed "o~~ ~\~ ~\:)~ .Eachinstallation . fOT sale, lease or rent.",,~'\\"~~~~ \;)~\:)~ S ~'O~~ Pump or iIrigatian _ 5S0.00_ \' '(-.\"0 '? ~1.'t.<;) \:)~ ': ~ Sign/Oullinc I.ighling $50.00 Owners Signature: \ 'i0\'(-.\:)'?' ~,,'t.<;) '?'t.~\\j . Limited l::nergy/Res _ 525.00 _" ~ ~~~ <;)~ Limited Enagy/Counn ----1...- $45.00 _ rl0 .9-1.) ~~'\ . Minimum Electric Permit Inspection Fee is 545.00 + Surcharges " 4. SUBTOTAL OF ABOVE 7% Slate Surcharge /"~ _\ 8% Administrative Fee' 0 (. ~ TOTAL '$ Sf 7.~ LiS.CO - 3j? . ;?..'t1S S1d:15