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HomeMy WebLinkAboutPermit Electrical 2001-7-16 . f~818l1BWjfig praJGe! .s submitted has the following i6niA~, ilfid 60G9 not require specific land use liSSFBVill . -::ftRte. 16tilng .., -, t(,{()1 225 FIFTH STREET Date - -l'...j /alA j... r;LECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97 4 A6\hciil~ %i\lM\\ltl! U ~ INSPECTION REQUEST: 726-3769 City Job Number 01-00 70'1 -0/. OFPICE: 726-3759 1. LOCATION OF INSTALLATION (04/0 ~") LEGAL DESCRIPTION I7D32-72.....( 07u~. JOB DESCRIPTION L..0..n ~ o_ll- ~,. - ( Permi ts ar€ non-t-ran$ferOlbl~'.and. expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY 3. COMPLETE FEE SCHEDULE BELOll A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion . thereof. ".. . Each Manuf'd Home. or Modular .Dvelling .Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: Electrical Contractor~ Fgo~~.~. ,,"f._.,: LC>' Address PO~~.~"). Ci tyG~ q"'l'-lO\ Phonej..iL~ 'l~~i -... l_uperv\sor: Licen'se Number ~qd..'\ Expiration Date..3b-oL::.O/ Cons tr Con tr. Number '?'~oo r Expiration Date q - (If - oc.l Si7~ ;~:=C5ltctrician O'..ners Name ~L.:.v Ioos:<: Address -'""- - ~. City Phone _")1$.1- -l.~...:\.q OYNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or ren l . O~"Tleis .Sig'nat"u'n;: ~ DATE: 07/20/ RECEIPT #: RECEIVED BY: 1\ t? .-- loll. I 200 amps or less 201 amps to 400. amps 401 amps to 600 amps 60L amps ..to:.lOOO"amps .Over 1000 amps/volts Reconnect Only S 85.00 S 15.00 $ 40.00 S 50.00 S 60.00 SlOO.OO '$ 130 ..00 ~S300.00 S 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 D. Branch Circuits S 40.00 S 55.00 S 80.00 .see liB" above Nev, Alteration or Extension Per Panel --L One Circuit Each Additional Circuit or vith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited EnergyiComm 5. SUBTOTAL OF ABOVE ... 7% State Surcharge 3% Administrative Fee TOTAL S 35.00 ~ S 2.00 not included) S 40...00 S 40.00 S.:20.0Q S36. 00 ~c:::. u-,.. .=I'ioS 10..'\ ~<;CS" -=- 3: -; ~:;o DD --=== :z: rr1 n1 (.1') 0..# n O~U ""'t" ..co co f'-..Jlf-L ...., I 1--lC"J~po I"T')-r- NO :;:;ODl.,.J (:) u '"?"cn I".J 0' QQ- 0........ 0' rrI tJ1 en".,) ..........0........-.;]