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HomeMy WebLinkAboutPermit Electrical 2008-3-25 SPRINGFIELD ~,..-.~ ~ ,\ ~" ~ ;11 _7-':'''.~ """'>~",~I1.;; ~'J;~' -j ,";" ,.~_ ~-._,...l..........-- < .~ ~r\", "l~1J ~ Vo\it ~ -,:'1 ~<l ~~~~~ :..~ ~~" ~\_~ ZON INITIALS DATE SOURCE 225 FIFlH STREET. SPRINGFIELD, OR 97477 . PH:(541}726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number CP&N\ ~oO 8 - C' 0 "ZL\ , Date 1. "L'OC4.TiixivoF!J:vSi4LLATIOI'i/},""", 3. <COiIPLETEFEE'SCiiED'uiEBELOi,y~", '" :.<,.,: - :,':' .' '577''; ''''''C:A;;;:;;}7FA .""~ s.f-' !I!... ..." M'_H'__~';'_-" '......... p' - "_,'~n..._ '~"'_"'(_"_"-,.,-,;;"',,, o ( 20 tf LEGAL DESCRIPTION J70 Z '3 '3 4Lf JOB DESCRlPYON Add/A~TtYl. f c,rc,^~+ Permits Ie non-transfer:ble and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. _ .,._~' ~~ .^..~ I ,. J"'l-:l :;'~"'_I"""r\"-!.-""-:: -I' ,-~ ,. A. " fIf ew Residcntial- Single or l\'lulti-Family per dwelliu" 'unit. ' ~.'-'_"'~'h";' ~ ~_> __ _. ~ N -' n-'!"" _.\.Y". ~."'~~,~ _ "t_-I___""'>-"IV~ ~...>".n"v Service Included 1000 sq. ft. or less Each additIonal 500 sq ft. or portIon thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $106 00 $ 19.00 $50.00 '~....~~ ~~~, N~ ,/< ........." ~ / N .,.' ~,-J:y~"" '\ ' , 2. ~C!N1,]!:4,C~?!!.'I1'f~T~~~~?!! ~~~. ..rnO"'~OJ~~~I-~~i~~~~ti~~, ~ltera~~_~ns. o~.~el.oc~.~i~?: " ATTE'''''' I.... db the Oregon .u, "J Electrical Contractor fh " I,.- t-+~ r::tP -:j:"\-lt; fnlloW r~'es adRfat~~ ~~s are set fOr\~ $ 63 00 NotificatIon ce~~~o.m~52-00bY $ 75.00 Address :0 i-f' ~~~ ILL i'" ~ ~~~~~i~G:~~~~~~~'~~e $12500 o caliing the coo~~11i~d0~~~wthcat\On $16300 CIty $~ Phone 54 r ~z (- S~limber for t~~{~~fi). $375 00 Cent~e~o~ect Only $ 50 00 Supervisor License Number LIII ~ 5 ExprratIon Date )0 .... l---V "I Constr Contr Number 14(, 74,,' ExpIration Date 1- 1'i(-~.1 Signature of supervIsm~;:~~:~eJan /;;/~-~/~~ Uq - ?r - - -~. o(:~rs Name /1)LM.' G {", stJ.Iol J Address 5 i 7 r C~IIV\ ~//'A CIty S?F~ Phone 7'11- 3<;'bl OWNER L"I/STALLATION The mstallatlOn IS beIng made on property I own whIch IS not mtended for sale, lease or rent. Owners Signature InspectIOn Request: 726-3769 c. " Temporary S~ryices or F~ede~s ,..<.J,~_",_ ~~ __ N ~ _~ - Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts .see "B" above D. Branch Circuits $ 50 00 $ 69 00 $100 00 .. _ ~ ~ _ ~ ~ . ~ ~ > A ~ _ ~{ -- New Alteration or Extension Per Panel One CrrCUIt I $ 43.00 -----~~tlOnal CirCUIt or WIthE W i\-\E W~RK 0414lO~iF~tWfMo\JtEX\'\R ..... o'rOO \;) t"t:nl\ll1T UNDER 1H\S PERl'Jllf \" E.A~id1Pr~Lli~s.-tPr\~i~~~~i~Yt2cBd) -Each Installn tion CfJMM'ti\tvt\J \J - -' "- m~ ~~M~~o~ER\OD. $ 5000 SIgn/OutlIne LIghtIng $ 50 00 LJnllted EnergylResIdentml $ 25 00 Lumted Energy/Commercial $ 45 00 Minimum Electric Permit InspectIOn Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE 50 b s zrD b 3!!!-- .... ~ ~ n \ 1% State Surcharge 10% AdmInIstratIve Fee 5% Technology Fee TOTAL Shared Dnvt:(T )/Bul!dmg FonTIs/Electncal Penrut ApplIcatIOn 8-00 dOL