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HomeMy WebLinkAboutPermit Electrical 2001-10-25 'ne'OI/OW'-" I zoning t" ng/,o ect 8s submitted has the fol/owlng appf8ii- oes not reqUIre specific land Use 1"9. L-DIZ " 225 FIFTH STREE1bate -_.1.0-.:;}? . 0 I I SPRINGFIELD, O~.GQN 97477 "" I In Ii. ./ INSPECTION REQifflglf!z7'2tf-~6tyreU<..~ Q!r.Job Number f>/- 00 ~5~ -0 I OmCE: 726-3759 '* 3. COMPLETE FEE SCHEDULE BELOW . 1. LOCATION OF INSTALLATION . 1. \ SD VA UnA Sf. '#!J? >n A. New Residential-Single or Multi-Family per dwelling unit Service Included: LEGAL DESCRIPTION nn "'> 7 -, I ()f?A. x:t:F 04-4 tD JOB DESCR1PTION lith{trJ t2I1P/ll)11 'i- f'.,irtttHtr-CL . u 1 hLa' (Jk.f17p Pennits are non.transferable and expire if work is not started within 180 days of issuance or if work. is suspended for 180 days. Supervisor License Number 0/1.5/ 5 ExPiration Dare '''ID-/-o'l Constr Contr. Number /.5 {, ~"o -~_","'I .' ...,., . Expiiation Date '/l- 2.S - b? ~~;('0 The installation is being made on ~."~_../ 1 own whiCh is not intended for sale, lease or rent. Owner.; Signature: . Gm:~l3IHS(jJ : 39NtJH:J . ' OG'SL $ G:Q:J3~ lWtJ , ~OOG ~G d3S:31tJQ 69L9000-~O:#SNtJ~1 . ELECTIUCAL PERMIT APPLiCATION C. T -T--"-" Services or Feeder.; Installation, Alteration or Relocation E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited EnergylRes _ . , ' '. Limited Energy/Corom Items Cost Sum $106.00 $ 19.00 $ 50.00 . . . - -" ~. , ~, (" 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or' Feeder - - i...,........~;..'II. -~,....--:'" 2. CONTRACTORINSTALLATIONONLY B. ServicesorFeeden;. j0f/JA. Installation, -Alterations or. " Electrical ContractorJ'JlJJ /fAlVlltfp r&a!tJ l;/t'eb7c., Relocation::.~;' >'::~.. ; Address pofnx 'Blo I 200amps~~i~~~~.: '". ." ~ 201 amps to 400 amps ' , City~Vl c..r Phone'?O~' ~PlR'74D8 401 amps to 600 amps 601 amps to 1000 amps . Over 1000 ampslvolts ReconnectOnly . .' ",' .. ,. ,T ::'HALL ~99J~prorleSsWORK .' .... UNDEp,2R~WW!~\~qol~jT Signature of Supervising Electrician ;. ,': <" ' .' " OVer'40l'to 600 amps CL.' "i .:) OR IS .Q:Vei600'amps'o'i[J000 volts see 1.1' . , .' ~ "BII above M<Y 1~:' .~.\'( PERIOL>. . D. Branch Circuits Owners Namemk ct- tJOh4} lun Jt..cr New Alteration or Extension Per Panel Address--LI Pf) U'.!t.U/1/J.., r-t.# {pf<, One Circuit' L $43.00UQQ... ci~~~fi.cld Phone~BOZ? Each Additional Circuit or with Service o STALLATION or Feeder Permit $ 3.00 , --.:.... $ 63.00 ~ $ 75.00 $125.00 $163.00 $375.00 ---..:. $ 50.00 $50.00 $69.00 $100.00 $50.00 $50.00 -L $25.00 Z':'l.J:JI:l $45.00 Minimum' Electric Perinit Inspection Fee is $45.00 + Surcharges 5. SUBTOTAL OF ABOVE 7% State Sun:hJlrge 8% Administrative Fee TOTAL 195.~ 4 ,L.b.. E> .~ I 'R:z.Q.