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HomeMy WebLinkAboutPermit Electrical 2001-7-5 . SP.tlFIELD , -The, following project 8S submitted has the following zoning, and does not require specific land use approval. I ^II!J ' Zoning LA.J~ '"7kiol '~ , . Date 225 FIFTH STREET SPRINGFIELD, OREGort~~11d Signature INSPECTION REQUEST: ,726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATI~ , d. }P;l::;. I ClI'^C ~ LEGAL DESCRIPTION J70377tO D'-i79.7 JOB DESCRIPTION i2.t:-'<:>L.o--c:..E- 5:'bf'_u I CJ.r 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 Electrical Contractor Address' / City Supervisor License Expiration Date Constr Contr. Num~ Expiration Date ~ , Signature of Supervising Electrician \ Owners Nam~~. F&I?".~ Address d J8b C~"c, 5-;;;' City soPl&.. Phone 7Y.6 q9~ 01 OVNER INSTALLATION The installation is being made on property I .own which is not intended f~r sale, lease or 'rent. Owners Signature: '/X~ DATE: &'-';).,-01 RECEIPT II: RECEIVED B'y: -..., .!!:. ~ ....7 "":> -{ (.1/ .' i ELECTRICAL PERHITAPPLICATION City Job Number 6/-0 c::::, b5y-oi COMPLETE FEE SCHEDULE BELOII * A. ,New Residential-Single or Multi-Family per dwelling unit. Service Included: 3, , Items' Cost Sum 1000 sq. ft, or less $ 85,00 Each additional 500 sq, ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular, 'Dwelling 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 ampsJvolts Reconnect Only I $ 50,00 <)0 $ 60,00 $100.00 $130.00 $300,00 .$.40,00 c. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40,00 $ 55.00 $ 80,00 see liB" above " New, Alteration or Extension Per Panel Miscellaneous (ServiceJfeeder -Each installation Pump or irrigation Sign/Outline Lighting Limited EnergyJRes Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5, SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2,00 not included) $ 40,O~ -j $ 40,OOi~:;'S $ 20,o,Q~;:;:1~ $ &P.QQJ;'~ :D ..co c.(1~Z:1-" St<;<~h-6 r~ :x: -J C) ~,."...r'" . C) .. ...:::. U1!:tfR -- -fT-~ ~~~'-'" - ~