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HomeMy WebLinkAboutPermit Electrical 2001-11-16 \,- TAowlng prolect as submlMed has the followmg . 225 FIFTH STREET . '~~a~n~ does, n~; rhu~ .~pecllic la.nd use ELE~CAL PERMIT APPLlCA nON I SPRINGFIELD, OREGUN 974TL, ) W"'" . '" ~~~~TI~~~~~UES~~tZ26-~6J1I~!91:..- / . Lt~y Jon Number 01-0 IIZb ~O I , . " " ' 'Auinortzad Slgnat~re 1?\Ul^r \-:O~l F.TF FEE SCHEDULE BELOW I.LOCATIONOFINSTALLATION',r :,' I. '," : ,,', 41) c::; 0 Pvt..timJldf~ ~vd. f~' '._, - l\. NewRe;identi;,I-Single Or'" '.. " , -'. Multi-Family per dwelling unit. 1'2>0103/ I ServiccIncluded: 03::>00 LEGAL DESCRIPTION 5'0 free.. ?:. - I ( \ JOB DESCRIPTION -:k--s<kl( fet&'^ ~ mcl~',Ll ~ ltems Cost Sum , Permits arc non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder $106.00 .. ' $ ]9.00 . .-v -.l.- $ 50.00 ~ 2. CONTRACTOR INSTALLATION ONLY B. Electrical ~ontracto~(i~ f ~ &d>tk.. Address 'f;O~2.c. l( " '...' /' ,:>''." City lAMl'k/VI/.t ti, Phone J!.jI--f-cf70"; Scnriccs or Feeders Installation. Alterations or Relocation: J"Signaturc of,Supen'ising Electrician "i ... . 200 amps or less 20 I amps to 400 amps 401 amps to 600 amps I . "601 amps to 1000 amps Over amps/vol!S ~$63.0~~ --.-i$ 75.00 $125.00 $163.00 ,{'-",N..," ~'Constr . ~',;,Expiration "'" , .tdf~GfrdJ ,..'.own~..s Name 6ik ~r . ;Address ..'. i7~--6;' ff-~h,~ :trZ- 'City '.sg".iGcW6hone "1(7 -7b5'( Over 600 amps or 1000 volts see !tBB above --. ~';<i. , /\ D. Branch Circ~'its Nc,viAlteration or Extension Per'Panel . 'I \ l,j" i One Circuit .,.. ....L.'...:.:.:.". '......'C. 'OWNER. INSTALLATION "TheinstaIlati6n is bein)lmade on property I O\vn which is not intended . for sale, lease or rent. . I '/ . ,- Each Additional Circuit or with Service or Feeder Permit $ 3.00 ':. . , ". OlHlcrs ~ignature: E. Miscellaneous (Service/feeder not included) . '"Each installation , 'Pump'orirrigatioh ~$50.00 Sign/Outline Lighting . $50.00 Limited Energy/Res $25.00 Liinited Energy/Comm' $45.00 t90:a3IHSt:J:J' : 39Nt:JH:J Og'Lg $ G:a:J3~ lWt:J 1002: tr 1:JO:31t:JO 9rtLOOO-tO:#SNt:J~1 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges , . 4. SUBTOTAL OF ABOVE 7% State Surcharge 8 % Administrative Fee' TOTAL 57S:::-