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HomeMy WebLinkAboutPermit Electrical 2001-3-2 , ! "!:'" c. SP&FIELD Q.C; 3~~-Dj Authorized Signature t<. j. The following project as submihed has the following zoning, and does not require specific land use approval. 225 FIFTH STREET , SPRINGFIELD, OREGON 97477 Zonlnr INSPECTION REQUEST: DilI1!€ 1?~':' OFFICE: 726-3759 1. LOCATION OF INSTALLATION hfJ~o 'JOtMv S LEGAL DESc;RIFTION / '7 IJ'J.. ::.. 4- '2.. ( f) r? 'L f'r{) JOB DESCRIPTION AL~ /"J4,ft.vp;;;y 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 B. Electrical'~ontracto~/t7~ AJ'rl{~/e~.~ ; ,.. .~Address 47JB rF'DX J.f/)llov.J ~ ~ ...... ,.,' Ci t~~ f'!i:.. Phone_ ~>i?~dll..f 72- SuperVlsor License Number ';?t:;7 Ei' S Expiration Date 1,fJ-2/-DI Constr Contr. Number 939..53 Expiration Date /0 -;l)Z;-O'2- S~~~Of~p~~trician ~o:ers Name_?7(b;. /JAemt;J/,rT Address //0'}1J JA-nu(' S 7, CitY~17 Phone '12-1:.-7oJtJ OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT II: RECEIVED BY: "? - 2 -0 I 4,'} ) , 0.A--. 4~ City Job Number IJ ( - {)/J/~ IJ - 0/ (;uIIYLlH~ FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 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 or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel E, One Circuit ($ 35.00 ('5 Each Additional Circuit or with Service or Feeder Permit JS7 $ 2.00 ~ not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. $ $ $ $ 36.00, :M4- ~ ''.?tr ) 2-:3 /1 C-" 0 -7 -'( 40.00 40.00 20.00 SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL