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HomeMy WebLinkAboutPermit Electrical 2001-7-26 SP.FIELD ."',~..'~", ' : The fO\:!owing project as submitted h~~ the ,following zoning, and does not require speCIfic land use approval., GD r2.. 2omn'" 225 FIFTH STREET - -,1').14' 01 SPRINGFIELD, OREGO!f'l}"1411 N~ INSPECfION REQUEST:Aut~~ll9"ture ~ --V'-' OFFICE:' 726-3759 ' 1. LOCATION OF INST,ALI4TI,ON ,( ~ z.-g 7 -;-h d.. 15.kv C ~ f LEGAL DESCRIPTION 11(')2. 7_ c:;, 3c..{ 007PO ..lOB DESCRIPTION ILC::-rc,cA-Tt""- St-:=-(L. Vl c..(-' 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. CONTRACfOR INSTALLATION ONLY Electrical Contractor Address City Phone Signature Supervisor Expiration ELECTRICAL PERHITAPPLICATION City Job NumberOf---O-O 7/5"-01 3. COMPLETE FEE SCHEDULE BELOll A. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular Dwelling Service or Feeder ,B. Services or Feeders Installation, Alterations or Relocation: Sum $ 85.00 $ 15.00 ,$ 40.00 ( $ 50.00 $ 60.00 $100.00 $130.00 $300.00 ,$ 40.00 :::,-0 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps' Over 1000 amps/volts Reconnect Only Constr Contr. C. Temporary Services or Feeders Installation, Alteration o~ Relocation Expiration Supervising Electrician 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above "':1 f .,-':') D. Branch Circui ts " Owners Name I )'41J~ e ,V J..,Ie'3, ferr- /1 New, Alteration or Extension Per Panel Addressl/"S- 1..<)-4.AJJ) 'Nu-e-- /IOu.. 9 ,r- One Circuit $ 35.00 CitY[:?lACj-e,ve.. Phonevrl'>~/- 6R.,;) Each Additional , I Circuit or with Service OIINER INSTALLATION or Feeder Permit $' 2.00 The installation is being made on property ,own which is not intended for sa ease or 'rent. - :J::J Miscellaneous (Service/feeder -Each installation Pump or irrigation ~ign/Outline LightinV Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL not included) $ 40.00, $ 40.0010:>3 $ 20.QG.,=:;Z: $ 36.aGJ ':: ** C') 0 c.....- ~. c:: <::> ':>,1-' <C 'I ..-.-.. q-".----- rr1 ::c 0-. 0 :-:.ze:nf'~ ~.m6c5~' ~/"""""",.~-.J