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HomeMy WebLinkAboutPermit Electrical 2001-9-12 The fOliaI" project as submitted has the following zoning. oes not require specific land use _ approve. I .... fJ 225 FIFTH STREET Zoning VVf-.. ELECTRlCAL PERMIT APPLlCA TION SPRINGFIELD, OREGON 9747:___ '1 fE:/o I , ._. INSPECTION REQUEstjlat'12lr-~, v> -~ vHY J3OJIlumberJ2! - nn l?"_~_', - 0 f OFFICE: 726-3759 Authorized Signature ~:~:~,~m2:;Z:. C.~_ ~ : :::;;;.;~;::::: . ,; -.,~ 'ib~9~Q.ESe~TI9.~':;:P~<!':;> '.i~~~;, .~i:.~{~~ri"~~~i1~1j}~~~~~ir'?:"\':;'~~~ :<I1')'h;"'7";i~:.~ ",,-,'IJ.,-/. ,11t7l>'3,-3.ZJ..'{~1... tl-'; :., ,0.Z;J,~. , .~. ik.\...'o''\(' "'<\'" ~""_'.".--""\l.l:.r. 'i' <."W: 1.Items-:Cost;"'~Sum - --_..~ " .._~'*-~.~. ~.....Ll..!_~.{.~~1:~~~:;.!:~L;' <~ ~::: " ..~~~~-:~;:t:~.:'.~~ ~ ,."' f~;,:~ ';'.' ~ JOB DESCRIPTION 1000 sq.ft. or less $106'.00" . .;s. A _ . _ _ ~ J. A _ ~ (0 ~& _0 Each additional 500 - - ~~ a;;' sq. ft or portion Permits are non-transferable and expire thereof if work is not started within 180 days Each Manufd Home or of issuance or if work is suspended for Modular Dwelling 180 days. Service or Feeder . $ ]9.00 $ 50.00 2. CONTRACTOR INSTALLATION ONLY Electrical Contracto~e PD"'~ ,.:)'~ Address .pn~n]l. _"l~_"''"'l ~ Cil!'tIJ'1.u.O~ Phone.'::\~I4>~( Supervisor License Number j ,3.q.;), ..'S _ B. Services or Feeders Installation, Alterations or Relocation: . "C.J2.; E"pirationDat-;' 'I'D ~DT ::'-Oi Constr Co~ii. Nuinber~ I Expiration Date C\ - (Y. - 04- 200 amps or less 20 I amps to 400 amps 40 I amps to 600 amps 60 I amps to 1000 amps OVer 1000 amps/volts . ..' RecOl\riect Only .: -L $ 63.00 10-3 "'" $ 75.00 $125.00 $]63.00 $375.00 s" 50.00 C. Temporary SerVices or Feeders Installation;Altenitioii or Relocation Signature of Supervising Electrician 'f. z1 ~~ (() fYLt-v C'1 Owners Nam"li. ~ 200 amps or less' 20 I amps to 400 amps OVer 40 I to 600 amps OVer 600 amps or 1000 volts see "Btl above $50.00 $69.00 $100.00 D. Branch Circuits New, Alteration or Extension Per Panel Address ~ One Circuit $43.00 ~ ...-, \l) Citv Phone~ .l.f3:io OWNER INSTALLATION Each Additional Circuit or with Service or Feeder Permit ~$3.00 ~ The installation is being made on property I own which is not intended for sale, lease or rent. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lightino . . Limited Eriergy/Res ! lCimitedEiiergy/Comin $50.00 $50.00 $25.00 $45.00 Owners Signature: 190 : ~3IHS~:J : 39N~H:J g~'6L $ G:a:J3~ lW~ 100G 1,>0 d3S:31~a 96g9000-10:#SN~~1 J:" I; c)la ~ '1. -'7'..R ?-S\o-e>( \i ... ~""-'-<l.'A_+ TOTAL (d,'" '"'0 l.../'if3 s;"US' }(., II 5. SUBTOTALOF'ABOVE 7% State Surcharge 8% Administrative Fee