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HomeMy WebLinkAboutPermit Electrical 2001-1-11 225 FIFTH STREET i;PRINGFlcLD, on 97477 . , 'as submitted has the following (541) 726,3753 The follow,n9 project t require speci!ic land use FAX (541) 726'3689 ZZ5 FlFTII STREET zoning, and does no , BLEl.'"l'RICAL FERMIT APPLICATION SPRINGFIELD, OREGON 9'111tV'1val., C)L- INSPEc:rION REQUEST I 726-37a.9mng 0 I Ci!y Job Number <9/-0002 Z - O{ OFFICE: 726-3759 ' - {I - Date cr<L.A.h-. 1. LOCATIQlI OF -INST"~1ii Signalur. .7~ 4I1rrnJ"''' _""'hELP A. I LEGAL DBSCRIPTION 1703.'2-'2..2.0 , DEVELOPMENTScR~CESDEPARTMENT 00'70'-{ JOB DBSCRIPTION (!ldl',trS ;:nc. <iL~SfL<I~ ~ f)/{f'&Kf;€ tr .1..oor.aro , Permits are non-transferable and expire if work is not started \(Ithin 180 days of issuance or if \(ork is suspended for 180 days. Z. CONTRAc:rOR INSTALLATION ONLY Electrical Contractor :J.f. f Et..8,TZ'C-- Address Po &.. ,q,3 Ci ty II L8A tJ Y / Ot. 9l1J1 Phone SI//-4.1Ir- 7f. 95 Supervisor License Number .3.2S:J..S '. ,. ".J . _ _ ..~ "EKpix:atio,n Da,t,e /17- 01" I'll Constr Contr. Number 21-'1(' Expiration Date IO-Of-'", , Si~ture o~ Sup'7)"ising Electrician , R A~ U~~_J;> owners"Name SrU-l ,l::;AKA(/IICHI Address....-Za..7o OL Ym,dlc' S'r Su/ri JII Ci ty S'~~.PIJ'L41X... Phone 1,2(,- q 8(.(, O\INER INSTALLATION Th~ installatIon Is baing made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIYr .11: RECEivED BY: 61110 ( ---;--vr: l..-(t:-Z- '7 COMPLR~R FEE SCHEUULB DnLOY Ne\( Residential-Single or Multi-Family per dwelling uni t. Service Included: Items Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each l1anuf'd Home or Modular Dwelling Service Or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation. SUIII 200 amps or less ZOl amps to 400 amps 401 amps to 600 amps ----- 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only: $ 50.00 $ 60,00 . $100.00 $130.00 $300.00 S AO.OO C. Temporary Services or Feeders Inst]lllation, Alteration or Relocation D. 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100U Branch Circuits $ 1,0,00 $ 55,00 '$ 80.00 volts see "D" a~ New, AlteratIon or Extension Per Panel One Circuit I Each Addi tiollal Circuit or with Service or Feeder Permit I E. S 35.00 ~ S 2.00 ..1.00 l1iscellaneous (Service/feeder -Eech installation Pump or irrigation Sign/Outline LightIng Limited Energy/Res Limited Energy/Conlm 5. SUBTOtAL OF ABOVE 7%. State Surcharge 3% Administrative Fee TOTAL not included) $ 1,0.00 $ 40.00 S 20.00 $ 36.00 -.3.,1,t:>n ~/ '---- ' _d . #- -i tJ qq ~'=';:o r:::J.. :OD L{O~~ C"'J C~.. :Do .. DC) Ci) r-uZt--l- :r: , 1--I("")-EflI--LO /TI :I: .......... C) :;::0:0,::... C) .. Zof'-.J+:-. am- Of\..) (1'-.rrl-,JOr--,J .........0..............0