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Permit Electrical 2001-11-16
TheWln9 project es submitted has the following _ _ zoning, end does nl?~requ;r~ s~ecific la~d use 22) FIFTH STREET approval: " . .' .', ' EL, RlCAL PERMlT APPLICATION SPRINGFIELD, OREGON 974r'oning '. ,~, ',. . INSPECTION REQUEST: 726-3769 \ tl . , ,\". /City Joh Nu~'her "0/:" 0 / Zz.. cr - 0 ) OFFICE: 726-3759 pate ,.: 1/'WlIW\ . Authorized Si..-k~T;:::~TI:.::'fE FEE'S~~DULE BELOW, , I. LOCATIONOFINSTALLA:r. ""'.; ,", . 3~3.0 G-Awt Address Uplc::.'1'"fu,r.. ~,I'+P.,,, :".., 200 amps or less 20 I amps to 400 amps' . City S re. 1,1. Phone /Lt)Pi~/.'...', 401 amps to 600 amps ,', .. 'n' . ,60 I mnps to 1000 alilps SlIpcr\"isor.~icense .Number ~7 1'.'; . . .Over.1000 amps/volts, ." Expiration ~~te" .'(()'-d'J'tC)U? . >:"r,'fo;:n.e:~,:,~~~l~;,:~,:,,; ,..'. . , " ,:.,,, . ....,~.. c, ,,:,. cTcnijiorary Serviee;or Veeder. Constr Contr. Number~p-UU7( :, . : < '. . 'In~i'!llation, AItej'ationor'R~loc~tion', ." '.,-,; :\' . ..:;~'.,." "<," ;:"::,,<<:"..:'.. .~. 1()'Ol~~0'7 co', ,C .."'200 amps' or less ',. ','. " , , '. $50,00 f . '" ti""'$"',-'~"'" '-', "',: -" " > ',,2ql amps to 400 amps"" '~, . .. '..c:...::::.:.,$69,00 ""'-Ove,-.401 t,o~OO anlps .: ",.,,' : ' $iOO,OO . Over 600 amps or) 000 voIts~ee," ,G'., "B" above . ~ .t:.!,; D. Branch Circui!s .' New Alteration or Extension Per Panel ' -:. 't .~;;'F':~'\ : .'~'.. On'e Circuit' t .^; "I. v LEGAL DESCRIPTION 170315'(0 (")3/00 JOB/ f~C~TION I{ ( f'/IIwt P Lt sJ-,a.. Permits arc non-transfcrahle and expire if work is not slnrtcd within 180 days of issuance or if work is suspended for ] 80 days, 2. CONTRACTOR INSTALLATION ONLY Electrical' Contracto~, ~Lh..'( Expiration Date : Signature of ?upcrvising Elcctric)an \(l) kilil> h ww, J ) ~LerSNamc O~~c-~',. LJ~ f Addr~;s3"J:j,:6.,"r~e,;,;'~ ~1 .... Phone ''7l-/I-816r City 'bl Jc.0 OWNER INSTALLATION . ' The inslallation is being made on. . propeny I o\vn. which is not intended' for sale, lease or reni. . ~'.. Olrncrs Sig,nature: .. c . '.' 1:90:!J3IHStI:J : 39NtlH:J ., S9'lJl1 $ e:::O:J31j 1WI::I .. . .. . , "LOOe:: C;O I\ON:3.ltlO ~., '.' . , , . ; ., .~.' 1;L.1:1..000- 1:0 :flSNtl1Jl ;.., " ". .. .' .' ',. , A: New Rcsidcntial:.Singlc or Multi-F:unily pCI" dwelling unit. SCI-"ice Included: Ilems Cost Sum 1000 sq,lt, or less Each additional 500 sq, It or portion thereof Each Manufd Home or Modular Dwclling Service or Feeder $106,00 $ 19.00 $ 50,00 B. Sel"Viccs or Feedcrs Installation} Alter:~.tio.ns or' Relocation: : .>~ : $ 63,00 ,~$75.00 ~$125.00 ~ $163,00 $375,00 . $ . 50.00 --;:-- " ., ...... .r'~4300 !f1 Each Add'itional Circuit or with Service' or Feeder Permit L $ 3,00 .l E. Miscellaneous (Scl"Vi~~/feedcr not included) -Each installation , Pun;p 'or irrigation ".' . . , Sign/Outline Lighting Limiled EnergylRes.~ Limited Energy/Coium' . .'....:- $50,00 $50,00 $25,00 $45.00 I\linimum.~I~ctriC P..e~mifl~spcction Fce is 545.00 + S~rchargcs 4. SUBTO;AL ~F'ABO~~ 'fb 7% State Surcharge 8% Administrativc Fee TOTAL 5?~