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HomeMy WebLinkAboutPermit Electrical 2007-3-22 DEVELOPIIENTSElf9~~bmitted haS the following e. 9 anO ooes not require specifIc land use zomn . approval Vf'D (7../ Zoning :3 .~ 1/Z,- 0") ~~ 225 FIFTH STREET SPRINGFIELD, OREGORal91>>n IHSPEC'l'JON REQUEST"uthd'~<t:t~ure OFFICE: 726-3759 1. LOCATION OF INS't4LLATION ...i L/bbO R2A.-. \dv. -7cJ,,) -7E /8 LEGAL DESCRIPTION (120;' O~II OZIOO JOB D&$CRIPTJ~ rt4 H- <;~" c.. 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 QN1.Y Electrical Contractor ~R~ ELECT~~~ INC Address 85783 HWY 99 SOUTH Ci ty EUGENE Phone 741=0494 Supervisor License Nwaber 40795 Expiration Date 10/01.LD1 Constr Contr. Number 20-403C Expiration O"te 10/01/01 Signa~perv' triciao OV~ Name ei4Ye-s,? 06-& Address 10111r l'6b Ci ty S? rD Phone 7'17 - Z 757 <t7'f77 OVNER INS'fAJ.LATION The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: ----------------- DATE: 0 ?Z.z.c:;> / RJlCBln' ,: '-(77)ff a.......... . "'" BY: 1\.\ ~ Tn.... :!26 FIFTH STRFFT SPRINGfIElD, OR 9/4:,- (541.1 726.3753 FAX (541) 7:!6.3t~9 ELECTRICAL pERKIT APPLICATION City Job Number 01 -ooZ.~3 - 0 I COKPLEtE PEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home or Modular Dwelling r </e) Service or Feeder $ 40.00 3. A. B. Services or Feeders lnstallation, Alterations or Relocationl 200 amps or less 201 amps to 400 amps 40 1 amps to 600 amps 601 ~ps to 1000 amps Over 1000 amps/volts Reconnec t Only S 50.00 S 60.00 Sl00.00 S130.00 $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 vo~ts D. Branch Circuits $ 40.00 $ 55.00 - $ 80.00 see "B" above New, Alteration or Extension Per Panel (lne circuit Each Addi tional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included; Hiscel1aneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighti~ Limited Energy/Res Li~ited Energy/Comm B. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ AO.OO $ 40.00 S 20.00 S 36.00 D LfO=lc;;3 ?~ ;u:::j:z: ,~'.""CD - ..# /' 0/:5{ .. 5:> c; \... 1..1...~:::o1-.l. ~-l(""J 00. r-.,) 2::. rrJ ::c f"..J 0 ;:O:D..p... 0 .. Z.+:--f'.J';:-' OQ- 0-.:] 0" rrl C) 0 LoJ ...........0.........00