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HomeMy WebLinkAboutPermit Electrical 2002-2-19 , " I I, \ , . ,"" ., I I I, \ , I , I I .. I I. I.. r , t t', " , " . ... I -. . . . : 225 FIFrH STREET I. . \ '.'1 : I I ~ ELECTRICAL PERMIT APPLICATION ;SPRlNGFIELD, OR1OGON 97477 I _ L . INSPECTION REQUEST: 726-3769 I j I CityJob Number. 02-00/50 -01 OFFICE: 726-3759.} I ,i I! ii"! , . .! I ; i ;, I :3. COMPLETE FEE SCHEDULE BELOW ,I .' ! ; . L LOCATION OF INSTALLATION :11' 'SSZ'5"'G76(l..()fN' ~v'fl'"'" "-"-'A: LF&,c\1" QESCRIPTION J BOZ.O b'( z. 0-0 5'S / I :' / I Ncw'Rcsidcntial;'Singlc or --- Multi-Family per dwelling unit. Sen'ice Included: Items Cost SUl)l 1000 sqJt. or less > {Z.'k(.,..... Each additional 500 '. ..-...... ",v/eCI as submitted....stlhilU...""'ic." :; zonmg, and does not require .::l~~. ....PVwmy Permits are nou-transferable ana~i. sPBfli'i!r~a~d Use if work is n?t ~taned witbin 180 days Zoning ./.[)(L Each Manufd Home or " ,., of issuance or if work is suspenl'l!,y.!or ~, '~_ O}., lVW';u;u, E"illing / 180 days. f . . ,.....,;,..'" ".. ~~er Authorized Signature JA 2. CONTRACTOR INSTALLATION ONLY B.. Services or .'eeUCT> I ., I :'. . Inslallalion, Alterations or ElectricarContracto~61qene. EltxiYtc..- Relocation: / Address 1l.D mb ~ '::-.0 e. ST, //'~'h,. 200 amps or les{<: . I / 'I." 201 amps to 400 ~mps City E Jllene.! Phone 3lJ1.1.-3Sfi>1 401 amps to 600 amps I OJ , \ L' ". '601 amps t$ 1000amps Supervisor LicenselNumber IOC,ZS . ,...;', ..Over 1000 arTlPslvqlts II.~.,;_>L_:~: 'J. ( ~ - .><x,-<,." " :"':~":".",>U.:;<,,; ;':;;,,~ '~;'_';'~#:f~';:~;;->.:;',:.~~'.:~.:<R~onnef(Q:rily)"~_:,/~,:'., Expiration Date .. "lolo~/o'3,'c iV\' \C~)i:~',..,:;,f'" . ~tihy. Jh:'eOre9(),fl'!Jtli1~;.., . "!. ), , '. .-. ".'. n,~""\'w':"lJlV ~"',: ':<"" ':-"". ~--::.~~~:.,.~;',f!r' '. t. . '. .'t~P~<f~~"\',\llswpgltarYJSe":l~~:?... Feedm Constr,Contr. NU1]1berCD.d'102.Wi9~ 0..' ,{),~I\~~Ylll\oiIP~lt~.alion'or Relo~alion ,--'--,~>\". "',li''''!'\P "~r-l~l'i)c$~~'91l11~r;~ule~,~:/ .... . .. '-,. 'Expiralion Date ..37171 OEt)0110: Y~\I' . <';!lniElP lNot<i:2.QP3am:il-1~I8SSj . , -. Call1,,~,e..,; ...\....~Qll,athJlSfi6atim1]lI;.pS ' '7Sign'~~re of ~upcn'ising EleClriCi':I\lllber~~:~~~~tflo.).to 600aIl1ps" ..' .,... .. , .. '. '" . Over 600'amps OJ,I 000 volts see " "811 above----~-'->.;.---- '., /\ Branch Circuits I' i,~~;ll' '._'. ~" Ne\/~:~lter~tjon or{'E.0tension p~rPann";.'.f' /1. . . " ~ ,- , .,,' '.' OneCllcmt., ,., , $43.00 ,!I J ' " .1 , , ' Each .Additional Circult or with Service '1 >.' or FeederPe~init' " .$ 3,00 _' OWNER INSTALLATION . , " . :'/ t ....' ,//. ,-::~:~.. './~ .t- . \ The install'!tion is being made on E. Miscellaneous (Service/fcedcr not included) '. I property I o\vn which is not inlended I: -Each inst'allali~h . { . '; ..' for sale,leas'e or renL':~i_:-'~,--: -. r! PUI11p'br~1'rrigatioh-..' ,{,,\ ~i50.00 . !I,I.OTICE: ..' SignlQlltline LightiIig$50.00 Owners Si*P,t1~~MiTSHAtLe;xP1REIFTHEWORK :. Limite<!.EnergylR~s . $25.00 . . .. ", L.im.ited E,nergy/Comm,;' : $45.00 .' AI.)THORIZEDUNDERTHISPERMITISNOT , , '" . i---:-. . ........ ......, ,'..., - "...<-. :'-.' ",' . " ..,' -, "",-.". . . COMMENCED OR IS ABANDONED FOR\Iinimu';' Eldcl;'ic Permit Inspection Fec is S45.00 + Surcharges , ~,,',;: . . . '. ' . ' ' .' ; . ' , ANYl8QbAYPERjOD.-, ., 4. SU~TO~AL~FABOVE ' (;3';-' , " 7% Sta.te Sti~charge .' 8% Adminislrative Fce . JOBl~~% $106.00 ,.' .1M $ 19.00 $ 50.00 ., , , ,/ '$ 63.~~' 63 ' --.:.:.: $ 75.00 , $125.00 ,.....'. _$163.00 .$375.{\0 _ ~ $ )0,00 , .--,..... .'",,', ','>;',"'~'&{"t,~:4 ' Fj,~>r",<"f', :?,::-;j", ';;:'-<, , 4 ,:~::~;;:y:, , . $50.00 _: ";.'$69.00 ~: -----':$100.00. . .'fi ..~., \ . .,{"c) , :,,>~,," Gm:iJ3IHS\'iCl : 39N\'iH:1 S~'ZL$:2:a03~ lH\'I GOO;:; 61 83.:l:31\'1a 9L08DOO-tO:#SN\'i~1 . , '14, .. ,,0'1 7? 'I) TOTAL .Ai;;'-;"".: . rr-- "~ ^-'-f,'" - -::r-'