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HomeMy WebLinkAboutPermit Electrical 2001-5-2 . . . The following project as SUb.~ sBpecifiC land use zoning, and does not reqUlr approvaL" '~ W . Zonln9 . - !?-~ " - ~,~ I E~CAL PERMIT APPLICATION AuUtOrlzad Signature ' . Date 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 City Job Number O(-CO'll.(g ,-or 3. COMPLETE FEE SCHEDULE BELOY 1. LOCATION OF ~TALLATION ~(,,.gO _ \~6X_ ~4-~ I '60'2.. {) 61 Z " 't.. 700 LEGAL DESCRIPTION ~t\"~LA<: C0....,i\~ ~~~~"\ JOB DESCIgPTION ''In,l Flit...>:" ....\A'-"^ ~1I<;:~' . A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor r L:'~ ~,.J( Address t;.~c.1>~; s:r,IJ~,~,(..I/, ~ e<-- / City Phone / Supervisor License Number I ^'1~ D~ Expiration Date \~ /Ol/nZ / Constr Contr. Number "Expiration Date /%r~z- / Signaatur,e of Supervising Electrician ..~f"1.~t.u~ Overs aLll..f" ~.... c,\;o...i'-. <:;.cJ.-.cill"> Address l '6 '\ D /oJ. '"t~ ~ City S.Pl\:"'i~iO-':> Phone '144- (,,375 { OYNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: r-4~ <1 r. ' ~~~-~-~~~----------------- RECEIPT 11: c:, , Z. y RECEIVED BY: ~ Items Cos t 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 ,$ 4().00 ,B. 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' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" a~ " Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 3S'?~ $ 2.00 not included) $ 40.@ , $ 40.00o::<i ' $ 20 oo=.~ $2,~~~2 DZ..DQ 1 \~ I-" -< c;' ~~..~g - -,- 0: l'"A5~,)U'1 7",- ~I-" _(\P"iO/-L~l'-.J --. .po..