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HomeMy WebLinkAboutPermit Electrical 2001-3-12 ....;... DEVELOPMENT SERVICES DEPARTMENT b .\ted noS the 10\\OW ng ject eS su 101 "f land usa iha lo\\owing pro 01 ra'lulla spaCI .e d does n zomng, an applOval. (D(L..- Zoning ~ ~ ~ 225 FIFTH STREET !?-I u- SPRINGFIELD, OREGON 9Mi1i- INSPECTION REQUEST: 72~-,;rMi9 SignalUre OFFICE: 726-3759 I'U" 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION 01 INSTALL4rION 14/3 1Ct-I/i{J /UiI<..-- LEGAL DESCRIPTION 170? ?<f?-"J- O? W1J JOB DESCRIPTION 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 Contractor ~~)(CD^) Address 337~b W. 0114-12.,/1\( Ci ty Ceesu (,-,--{ I Phone "6 <t S - 2Lf'f 0 Supervisor License Number ~J-c; Expiration Date 100 101 Constr Contr. Number bb'b 7'1 Expiration Date 070101 ~ign~f S~ng Electrician Owners ~ \.J\:LtL_~.~ Address l'k5 ~tUf2l Ci t~~ Phone f-l. ~ 7.fZ. (, OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. c::m:1J3IHS\!:J :39N~ers Signature: Og'8~ $ C:::O:J31J lW\! "WOG 7T \.II<I.I,:J I ,.m 6g9~qg~~g~~~NO~l ------------- RECEIPT II: RECEIVED BY: 225 FIFTH STREET SPRINGFIELD. OR 97477 (541) 726-3753 FAX (541) 726.3689 ~CTRICAL PERMIT APPLICATION City Job Number 01- O{)I;).f,-O/ Items A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 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 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 $ 40.00 $ 55.00 '$ 80.00 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel I $ 35.00 ~~ ...- One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 7t State Surcharge 3% Administrative Fee . TOTAL $ $ $ $ ~. --- ~..f$ I. oS' .">'l. Sc.i 40.00 40.00 20.00 36.00