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HomeMy WebLinkAboutPermit Electrical 2001-1-29 , ',l .\<._;>I::>rl has the following ThetO\lOWlngprG;.... ..,~ ~- . _~cifi('.land use . ... "'oes 00\ Tt:l\.j"''' ~ "'f' zomng I aou U . . approval. !../.A I 225 FIFTH STREET Zoning ,_ "'1 _ 0 I SPRINGFIELD, OREGON 97477 ~ INSPECTION REQUEST: 7Z6leJTo~ - .{<,'0 OFFICE: 726-3759 '""",o"zed Signature .' 1. LOCATIllP OF INSTALLATIjlN ct3t:J() lIt:WtJ~ . ~/JC LEGfIL DESCRIPTION / ~()303 Ut>t:>{,b't) JOB DESCRI~ION . jA1-S7.4LJ. ftJ.lG I ~t:.N Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor,t""SIJl S;~I Add;ess J2.lo t3IJK~..II i?d Ci ty htGGdG Phone !fRSS5 '&.- Supervisor License Number 365 $(6; Expiration Date J () 102- , Constr Contr, Number~'" :/05 e{~ Expiration Date j()-/-O/ ~~~re of ~rViSing Electrician , _..-i \J ~U _ - Ovners Name Address City Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not,intended for sale, lease or rent. ' Owners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: ELECTRICAL PERMIT APPLICATION, ~ ty J~b Number f'J I - O7TDo 7 - 02-- 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: ' Items Cost 1000 sq,ft. or less Each additional 500 sq, ft or portion thereof Each Manuf'd Home, or Modular 'Dvelling Service or Feeder ,B. Services or Feeders Installation, Alterations or Relocation: 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 Sum $ 85.00 $ 15.00 .$ 40.00 $ 50.00' $ 60.00 $100,00 $130.00 $300.00 $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 ~ Sign/Outline Lighting lC -$ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL Jt.4P. ~ 40 'Z.. 'i!P 11 I. 2.0 ~IJ.,-