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HomeMy WebLinkAboutPermit Electrical 2001-4-4 . o , (.. 1 AMT RECD:2 $ 55.00 CHANGE: CASHIER:ODl , L.f / If /2 00 (he following projecf 85 submitled has the following . zoning. and does not require specific land use . 225 . FIFTH STREET approval / ~ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning - rJ INSPECTION REQUEST: 726-3769te -"1- ~-rl ::~J J"b Number [) / OOO~3 0/ OFFICE: 726-3759 ~~ Authorized Signa lure .:I. COMPLETE FEE SCHEDULE BELOII . 1. LOCATIOji OF IJiNSTALLAT~ ( d9.J /-f7~6I'JPk- /.5r.'c j;6 ; v . --:7LEGAL DESCRIPTION / / 03 ';)r~ /;).., (J OCt (J7) JOB DESCRII;fIO~ / ,fe;,..1 rl~ (:U/)&h<.~ V Permits are non-transferable and expire if vork is not started vithin 180 days (,~ ,of issuance or if. vorkT,isjisyspended for 10110\1180 days. ' . 1",:::_-:;;:;; 39\ t~l1. . .\ ." <....-... 0 i\\.Jt\t;C,'.\IL" '. c'" 'O--~h:"\2.~"?.-O '," 'n QI-\'3 :J~'~C.9~;r;O~'1~I~~~\MHPJ&.9t'Ly B. 0090\,rt':lel~r!{'C~1~o~t;act6f1k;JS-J~"'c.A'2J"'1 ~full. cn HII~ .1..... ,...". -, . 'I I~UUlt...."'u.......:. --;- .'IJ"Add"reSS"O."1\:' '3"~44\1 vO 3 . ~r"" - : City~A' . 'Phone' hllll .c;2]t- Supervisor License Number 3l./<f 75 '!cJ/f/o/ Constr Contr. Number 7LJd'R9' Expiration Date Expiration Date/:2-/3o/0 ~ ,Signature of Supervising Electrician ;t. I~ ,~/J<#__ ov:J~ Name ~ 0 11-2..1 J /JA rJ;,----L> Address P' ti'i /I-]:I-f~A_~ Ci ty Q u- I/J p:one_7V/-f~/...i: O\INER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or tent. . O\lllers Signature: DA~E~C)z;r~(5~-~C)7----------------- RECEIPT 11: l4 (U.'" U RECEIVED BY: n. f nat'!nt1l'l A. New Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each~t1,ap,uJ~:!.Home. or Modular' 'Dwelling Servi'i:eP5i'if\F,eede. 'EYo.".,,.. 'F,)SHE"O. 00 . _...,~ , WORK AlITHORIZI=f) 1'~lncR TH . .-. . Servi.c.es ,or Feeders IS PERMITlS NOT Ins tl~1:1~at!i?n~Qirtera t:;rol!.sJNED FOR or Relocag!?!':'PERIOD. 200 amps or less ---1- . $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to' 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits " Nev, Alteration or Extension Per Panel One Circuit Each Addi tiomi.l Circuit or vith Service or Feeder Permit $ 35.00 S 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited EnergyfRes $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE .'<:::0 . <YD 7% State Surcharge ~ G' .50 3% Administrative Fee I . ::> ~ TOTAL ~.c:,.5 . lJ 0