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HomeMy WebLinkAboutPermit Electrical 2001-12-17 225 FIFfH STREET SPRINGFIELD, OREGON 97ming INSPECTION REQlJB8lft 71Ci 1""~ OFFICE: 726-3759 Authorized Signalure The ;clI.A.rOjeCI as submitted has ihe following zoning, ~es not require specific land use approvel. LAUt2.-- I~ .11.01 DICtLtt.v 3. l:UlW'LJ:>1~ FEE SCHEDULE BELOW . ELECTRICAL PERMIT APPLICATION CittLob Number Of - 0 0 9 Z 7 -0 \ LEGAL DESCRIPTION no'3. Zsc:n::> A New ll..,,;n<>nli.l-Single or MnIti-Family per dwelling unit. Servil:e Tnc1mlf'1l; 1t 1. LOCATION OF INSTALLATION /) . 2.'253 W/)Q.,A- L-,- ocz.ol{ Items Cost Sum JOB DESCRIPTION JIIIl J-I. '9trfL.l/ I C ~ -f- /' 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Suvire or Feeder $106.00 f......:;., are non-transferable and expire if werle is not started within 180 days of issoam:c or if worlt is suspended for 180 days. 2. CONTRACTORINSTALLATIONONLY Electrical Contractorffio'1 Uf'J-f. L Address \~) 'Q.n~ (fWI L/l. City~R .n Phone llri-(rG'7o ( SupervisoI License Number ~ "\S. ExpiIation Date I e/ (j I I Constr Contr. Number ;;{) L(.(() 1. L r.....;.~on Date J ()/ f).2 i Si......_~ of:::........ ,:sing Electrician $ 19.00 Z- $ 50.00 jCJ'O B. :l_,:"""orFeeders W<:I.U:mon, Al!eIations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps . Over 1000 amps/volIs Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. T .......~-J Services or Feeders T'1....U:mnn. AlIerntian or Relocation Address ZZS3 ~7 .--v.', . h Owners Name ~J,..., cL- /JI/ Hr//l.1", IlUthk LiJ Citv 5f?m Phone '{t)---S7c;7 OWNER INSTALLATION 200 amps or less 201 amps to 400 amps 0vIir 401 to 600 amps Over 600 amps or 1000 volts see "B" above '_ $50.00 _ $69.00 SIOO.OO ~ D. . Branch Ciicuits New AlIerntian or E.~.,;nn Per Panel. One Circ:uit $43.00 Each .t\nmlinn.l Circ:uit or with Service or Feeder Permit ----1- $ 3.00 . ~ The ;n"", n:mnn is being made on r'-"~'J 1 own which is not int<>ndf'1l for sale, Jease or rent. Owners Signature: E. Mj""",Uh" _ (Service/feeder not included) -Each in..c::t~nmon Pump or irrigation SignIOotIine T.;gJtti'1g Limi11:d EnergyIRcs T ;mm..n E........,:Comm S50.00 $50.00 $25.00 $45.00 M:..:.,...... Electric Permit Inspection Fee is $45..00 + Snn:harges S. SUBTOTAL OF ABOVE 7% State Surcharge SOlo Admini,~~T'" Fee /03- 7....' Ije.'f ~