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HomeMy WebLinkAboutPermit Electrical 2002-10-24 225 FIFT~ STREET _ SPRINGFIELD, OREGON 97477 INSPECfION REQUEST: 726-3769 OFFICE: 726-3759 I. LOCATION OF INSTALLATION 1860 Laura SI. LEGAL DESCRIPTION 1703.2..7(D 07.5'OQ ELECfRICAL PERMIe.PLlCATION City Job Number e-U- z:O~ Z. -00/.2. b 3. COMPLETE FEE SCHEDULE BELOW A. New Residential-Single or Multi-Family per dwelling unit. Service Included: * Items Cost JOB DESCRIPTION 100g, s~oi\b..ol\less Relocate drop cords for equip . s subtni\\ed il<l.'il!' ~itillilal 500 . p u o~ a . e s?e~' . ,."e ta\\OW\ng 'e~ not reQUlf sq. ft or portIOn Permits are non-transfemble and eJjpirelg, end do Q.../' thereof - if work is not started within 180 daJlll'p,ovel 'ng~ ". Each Man e or lon\ _~ v of issuance or if work is suspended for ~tl. ~Iar ~elli!!Jl 180 days. Dele __ J/. !L.-,... vr eeder 51 na\l...ue -- \norizeo 9 2. CONTRACfOR INSTALLATlcMONLY B. Services or Feeders , Installation, Altemtions or Electrical Contractor JB ELECTRIC. INC. Relocation: Address 4665 Isabelle Street City Euaene. OR 97402 Phone 541.667.5770 Supervisor License Number 3672S Expiration Date 10/1/04 Constr Contr. Number 37567C CCB 104929 Expimtion Date 10/1/02 3/14/04 ---- / owner~ame Print Excell Address same City Sorinafield, OR 97477 Phone 800-547-9502. The installation is being made on property I own which is not intended for sale, lease or rent. , Owners Signature: JB Job # 02-761 D. Branch Circuits ~'l- New, Alteration or Extension Per Panel ~ ~\i f::J\ \'"\~ \S~ One Circuit ':?~t.,o.*,~ \i~3.00 $ Each Additional Circui~'\,~c1~t\l '" or F..~:\~t;...it~ SY\ 'Nt~ '\ _.~~\i I $3.00 $ ~'\)'\ o'i:.~~t.\:\ '\)~ \S \,-v E. Miscell~. S~~~a~~ded) -\,ac ~11IR.'*"'(; ~ oyX: Pump or irriga i~~~~ 'O~ \)~ Sign/Ou '~ighting_ Limited nergy/Res Limited Energy/Comm ,-0 200 amps or less :IIOY> .<.oN " 20 I amps to 400 am~0CO ~:v'-~ 'O~': . 40 I amps to 60.Q. W'i\et-0~0 0 co""n..(:)\J :.-, 60 I amps 5'-iiro~~Re'" ~ ~ ~j':J'.'0CO ~ ' Ove~~QO?i "B"pilv~~ ~O~ ~0 ''':'(\<:-''O.f'. , R#>h~~On.ty.O'\o~~ 'i> 0' ^'0~~..# ~\' S'lJ' ~0~' (:)'t' ~,0 ....0\''' o~" .,~ ~~J::,P~ ",C\'" ,<:,0 ".~. ~ P T~P!'6<:,rS~~Ce\2T.FeegerS:i.\\~ ~"\. 'O~~,\,c.~~ b'/..>S 0-'\ 0'<) ~0~'~ 0<:-' \'j 'J)W<'t _,o~ ~'!J .,~ c.0"'O~0~ rY"S ,- O~ 'oV 0 ~ !OI:S \~ ,~Qo.~~o~-tes,' s\"'.... \)I:S qj~.~ ~9.0~amps 'vell~1 ra~OO amps <\V Over 600 amps or 1000 volts see B above 5. SUBTOTAL OF ABOVE M'N'MUM 7% State Surcharge 8% Administrative Fee $4500 $ $ $ TOTAL Sum $106.00 $ $19.00 $ $50.00 $ $63.00 $ $75.00 $ $125.00 $ $163.00 $ $375.00 $ $50.00 $ $50.00 $ $69.00 $ $100.00 $ $ 43,00 3.00 $50.00 $ $50.00 $ $25.00 $ $45.00 $ 46.00 3.22 3.68 $ 52.90