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HomeMy WebLinkAboutPermit Electrical 2002-6-6 1 " '225FIFTHSTREET''- e" ", ".:' 1r0J'- -':r; :~ "'., ELEACALPERtvllTAPPLICATION ;.::~,SPRlNGFIELD,ORfGON974h ..1: fS. :i ~i..:..,', (". . . f\ "OOIJJ^.O' \ i INSPECTIO~ RE.Qlffi,S,T: 726.3~69c" I '(" ,JJ rp~y Joh Numher n-t1.... '\(! Ll1\ \. \,< !! OFFICE: 726.37)9 ' i , I I . , I X ,,'\lJ' : i ,: 1 ~i'.) i> r-' ; ", :! ','. .:' ~'! J . -' ! q\\), 3. '.cQ~Lim FEE SCHEDULE BELOW \ ./ L L LO~ATI?NOFINSTALL~TION U C:I~_ Ii . / .1 . .... --35.<; -I4l\R...\OLJ fi6~ . \}'A: New ReSldenl1al"Smgleor _>oM" , -- , .,.,f\t\ ..t) Multi-Family' per dwelling unit. LEGAL DESCRIPTION \ '\O~dVJ"1.000 Sen'iee Included: Gl)~ l "'~ e::I.tIM.t-.)~ 0 v Items Cost Sum $106.00 ., : ;' i, :'\ " :" : ,~. :i' " ';'l;, l. ;~ ,. '. .' t1': .' ~ L ;'< ...' . ~:',,', . ~ I,,, f.'.' 'j !' ~ ~ \.., , . " " r. JOB DESCRIPTION. 1000 sq. ft. or less JJ5JJ AM r:;(1...J.': AIM... <;:(~ Each additional 500 l I sq. ft or portion Permits arc non-transferable and expire thereof if work is not 'started within 180 days tih Manui'd Home or ./ of issuance or if work is suspended for ~ ~ ular Dwelling ., 180 da)'s . .f. '\~ W ,ice or Feeder ., ~'#o~\ l'\~ ' 2. CONTRACTOR INST ALLA TION O~~ ~~\\~~1'l'es or Feeders , , , ~,.\'\' \~ ~0clI..~r;:j Installation, Alterations or Electrical,Contr~lctor~C.." ~'a ~~~ t.,.,fQ't"- Relocation. > . . " '~\)-'~~ ~~ w~ . Add.ess : ~.~c..~e:~.rt'~~Q~~'" 200mnpsorlel. " .:"\ .~' !Ii ~,,~' .".... 201 amps to 400 amps CIlY ! ' : ~ ~~ ' .'" 40 I amps to.600 anips r !. i ' ~.d~. ' '601 amps to 1000 amps' Sup~r\'isor Liceil;c'Number'f"C7 ~PS , .'. c5;'Or 100~aniplJ~'51ls l ' . ... . '_ " d,:,e\.1,V}~ . 1 ~\.\w\., I v / .', " ,.'.. J.~..Reconllec\:lf)nIY\~1\tl E"pirationDate If) . (y.j . ':,,,;;,',l\J"'~~ ~~'p'J_t~~~~;aio~~e~.(\l'\\" . .f , .1'\' lll\e!;e.('C~Tempol'atTSe~leeS'\or Feede!'s '- ~Q\\Cl'/'IceIWilt. " , , ..,rmv' . . "'\'15"" . Constr Contc. Number ." ._",\(1 . Q~q~lillahonsA!t~ratlOn or RelocatIOn "- -, NOW,v~9~Z'()O\' 'rit'i).\n't.O?\~\\,\~~e\e,,~Ol\e(l . '--Expiration Date '--.. -... I:' o~. '(all ~a'J ~tet.S:?;CJO~mR'iJ~t~essca\\Q . , , ;)U"\Jl\in9~ce o<e~01\aii)P..s)~4qoamps. Signatnre of ,Snpervising Electrician ca~be( IQtt\1~\,,'\,,(~.~401'to.600 amps . '. . "Ill cefltE\ Over 600amps.or.!000 yolts see "BIl nbovc --.~ /, I' , \ D. Branch Circuits .NcwfAlteration or Extension Per'panel I !f j,; $ 19.00' $ 50.00. ~ '.,,~ .' . '\ $ 63.00" . _ $ .75.00 ' .' $125.00 _.; $]6~.Oo. $375.00 $ .50.00 . .. , '. $50.00 ---.: $69,00 _ $100.00 ~ rt .L.JllP"J J. t1a...- \, 'ne!'S 1'iame~"~ ~~I._.. Address Ii<: 1 0 IV. </.1. "'2 Onle' Circuit $43.00 City st.!.,'''') h.ru",,> . Phone.:J.J...<I-(., 3?5 OWNER INSTALLATION The installation is being made on property I 0\\'1\ which is not intended for sale, lense or rent.. ;i ., E~~h Additionat' Circuit or with Service. . or Feeder Permit $ 3.00 '. " Ec l\Iisceilaneous (Senice/feede!' not incloded) -Eacl; installation . '-~ PUlllp'c)f'irngation Sign/Outline Lighting : Limited Energy/Res : Lilnited Energy/Comm O,y crs Signature: $50.00 $50.00 '$25.00' -1- $45.00 '/-5 e /'J.).(J.J:)III."_ l\IinimumElcctric Permit Inspection' Fcc is S4:,.OO + Sllrchar~cs }. ',' , .1_00 4. SUBTOTAL OF ABOVE 7:::' - 7% State SUI'eharge ......:.."'t. \ ';:) ~ . 8% Administrative F~e '!>.lc:() ~V1S TOTAL