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HomeMy WebLinkAboutPermit Electrical 2001-2-7 The fOllowing project 8S submitted has the fol/owing lonmg, and does not require T 225 FIITH STREET approval. spec' IC land "E'LECTRICAL SPRINGFIELD, OREGON 97477 Zoning e.L INSPECTION REQUEST: 726IT~Z69 ~-7 _() I OFFICE: 726-3759 . \ Authonzed Signature K1U3. 1. LOCATION OF INSTALLATION Ljt ClCJ ~I'''''^\<.\.''' B~CSei:vi'ces or Feeders THlln's1~nation, Alterations Electrical Contractor,J)-r::''jrJl\ 1 'ortR'e'l!Ocat-t9_n':':XPlliEIC"7} /' , I AUTHORIZED U/I'n :; 'n .. _' IE WORK Address '33730 LtJ. mA-'?--TfN COjv,~,9.9Nla~p,s ~rEles'sS?.::r:.:I-':~ .,:$ 50.00 /' _ 201 amps').t6S!<,QOu\~m"p,~, ~.. ,_' $ 60.00 . Ci ty ..L.~"'-;'LJI::.-tL Phone q, 9.:> - 2'i'iOA1'IY 401Camps.:'~ibll?00 amps-' ~~l $100.00 601 amps to 1000 amps $130.00 Supervisor License Number<: t, I L/-5> Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 / / C. Temporary Services or Feeders Constr Contr. Number bbg7t( ATTJ:'NT'n~o.I~~~!!p~tion, Alteration or Relocation fOl/o", 1'/1" . Expiration Date 070101 ~I"..,.. " I 200'amps',or, less . . ......,'. III', "0201 -amps to '400 amps Si~e of ~erviSing Electrici~~:.IJ."1if,2:11111.0'.Y..~~1 MJ),I~?;60.0 amps . . . ~ W~.,;'h: Yli:j'" OV.e!;, 6.9,9,' am~s' or ',1000 vol ts fJL~II;/'"", j...._ ~.~,-I J (:. If" ~wn~r ~j e Sk~\V1.A. :L" D~;;':''';:' D.:': Branch"circuits:~~,,~ ~ New, Alteration or Extension Per Panel Address . R~I fIe{ LEGAL DESCRIPTION 1'1-(),"> 3'--1'-1:i. ()0600 JOB DESCRIPTION -;;t. c rc..u>t.s 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 ONLY Expiration Date 100 I 0 I Ci ty "':>,,,-!Iri Phone "'14 6 - g(.; 0 I OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: ;),,-"1-01 RECEIPT I:. '-I:>'] '-'\ RECEIVED BY: W'\ \:.i ,,~ 225 FIFTH STREET SPRINGFIELD, OR 97477 (541 J 726,3753 FAX (541 J 726,3689 PERMIT APPLICATION 0(-000 d-. '(;'-0 { Job Number COKPLETE ?BE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling Service Included: unit. Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Bome or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 I()~ $ 40.00 $ 55.00 $ 80.00 see "Bit above One Circuit Each Additional Circuit or with Service or Feeder Permit 1 $ 35.00 sS $ 2.00 :? 7> E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.0QJE -< Limited Energy/Res $ 20.0o-':D:iS Limi ted Energy /Comm $ 36. O~ f.1 ~ C":J C"Tlu 5. SUBTOTAL OF ABOVE )7'-.~c ;:",~~ 7%. State Surcharge :2.~.,..., faD.b 3% Administrative Fee I,~ ro--Jg TOTAL 40.%~~!:'5tJ O1n1-.JO...o ....0..0..........0