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HomeMy WebLinkAboutPermit Electrical 2001-5-7 .It.NGFIELD The following project as submitted nas the toHoVJi'lf.. zoning, and does not require specific land use- ~ approval. Zoning 225 FIFTH STREET SPRINGFIELD, OREGdR't"),',:,:, INSPECTION REQUES'JA;,tho7,~~r\iJlure OFFICE: 726-3759 , I.c..b. II? &) --"7 - G.,( ~U\ 1. LOCATION OF INSTAIN\TIgli" Z/b{ Dl4"'k~UL~ LEGAL DESCRIPTION 1 70'3 Zh{ / 015"00 .... JOjl DESCRIPTION tfz.JT TlA 6 c, (2.<...'^- ,.-r- Fermi ts are, non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor t('roDd"(1 f-Iec;t; Address RO,(JOY 10&7 CityspP"/d/lJr Phone 7:J.IP-I/303 Supervisnr License Number (}.(p 7/ 3 /olo//cJ/ Constr Contr. Number :;;6-/7:1. ~ /D/OI/Or/J Expiration Date Expiration Date SignatuJ;1';?f~erVising Electrician ~ -"~ /Ilf .--......... Ovne;~ Name' I") i-6lZ-,~ Address Z/h/ 'Oc, 10(,4 I\'~ ~ Ci ty sf' ,-CLl Phone 717 - 0 c;/5 ( OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: /") -::;-0 70/ RECEtPT II: L,' J g-r RECEIVED BY: "0-.rf' ELECTRICAL PERMIT APPLICATION City Job Number CJ/-aOlfAlj.o/ 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling uni t, Service Included: Items Cost Sum 1000 sq,ft. or less $ 85,00 Each additional 500 sq, ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular 'Dvelling .' Service or Feeder .$ 40,00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50,00 $ 60,00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see nB" above D. Branch Circuits " Nev, Alteration or Extension Per Panel One Circuit Each Addit ional Circuit or vith Service or Feeder Permit $ 35,00 :3 (" $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40:r90 $ 403;lQ,,;ri $ 20::6l~ ~ $ 36:;glCJ:1 ~ ("") t:::l:z .. ~ roo DC) ~) l'..J-<t-;"' HO@C)O l"'!l"""" _."'\'-" ;;QDGJ 0 .. r.r:n....t::.:l.L.1'1 2S ~ ~~~ ........... c::;tt--'--.:] SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL