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HomeMy WebLinkAboutPermit Electrical 2001-8-3 (2) The following project as submitted has the following ZOning, and does not reqUire specific land use approval ZOning 225 FIFTH STREET SPIUNGFIELD, OREGON~'f"+1I INSPECTION REQUEST: Auf1ta6t2'~ature OFFICE: 726-3759 .." kD~ 8/3/01 . ELECTRICAL PElUUT APPLICATION ~CitY Job Number (!) I - 06(g~ -0) 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION~OF INSTALLATION 4/~'~ c...... AVo"\.- b t?M'3x-<.._ to. . ,. J.&GAL DESCRIPTION ~ - 103 d- 3 3L). 0 -;)&/00 i L J013 pESCRIPTIOlh ~f'(/~ v~I2f'/Ih:R~ Permits are non-transferable and expire if york is not started ~ithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contractor/C5 J;/r-c/flc Address (7 (j b cJ>C L Y'~3 3 Ci ty EI;1 t/ A.~..P Phone (;'1:';; 6L J b j Superv'ic;or License Number J V9 J.J Expiration Date / tJ II /0 / I ( Constr Conn. Numper 7 L).r r7 Expiration Date/:2-;/3 % y s~ure of ~erViSing Electrician · X~ ,,,,,!'cf~ O:ne_"s Name I~U ~(aJN Address 4'33 e4",- 1'f24V~ 1 . C1tySf?,eh'7.~ .PhonP. '7'{1-7'10] OVNER INSTALLATION '-' The installation is belng made on property I own VhlCh is not intended for sale, lease or lent. Owners Signature: "'--- DATE;--------23-2?lS-?-C)-~---I--~-I~-- RECEIPT t: ) I l/"" RECEIVED BY: (f \( (' U ' y A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq, ft or portion thereof Each Hanuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. Services or Feeder~ 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c. Tempora~y 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 liB" above D. Branch Circuits New, Alteration or Extension Per Panel ~ $ 35.00 3) ~u E. One Circuit Each Addltional Circult 01 vith Servlce or Feeder Permlt Y .I Miscellaneous (Service/feeder -Each lnstallation Pump or lrrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not lncludeo) $ 2.00 z. s. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 S 20.00 $ 36.00 ~"% ;3 ,-~ ..J.....J.,.."l -7"'::- -, -.... --'--..- C/-:-/ 4-1 !:!:.1 fTl S:2 I (""J ,__D" 6 l{d):)7I&! j:::i: ::c I I-i ("", -!;t-J- (:'I .;-..:;) rr1 ::c I-..J. (:) -;:rJ.J>.+-" Cl ". ::Z:OI"JO' ,..:;) G1. 0 L.J Ci" rf1-1 C) I....J. I-'- "" '-J 1-.... r'J