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HomeMy WebLinkAboutPermit Electrical 2001-09-12225 FIFTH STREET SPzuNGFIELD. OREGON INSPECTION REQUEST:' OFFICE'.726-3759 7 tollowlng prolgct as submitted has doso not specific the following land usa. - L,I Limited Energl,,Res Limited Energry'Comm JCAL PERMIT APPLICATION //? 75 LEGAL DESCRIPTION I7O3 ZsI /u JOB DESCRIPTIONA 4n, (^^<' 1,,/.<irf'tn7cftJ Permits are non-transferable and expire if work is not started rvithin 180 days ofissuance or ifwork is suspended for 180 days. SC}GDULE BELOW A. *ll taV sn O,G Multi-Famil-v per tll'elling unit. 7oZ Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion tirereof Each Mamrfd Home or Modular Drvelling Service or Feeder ON OF INS ,t-tz-* a--z(, Items Cost Supr $l06.00 _- 2. CONTRACTOR INSTALLATION ONLY B. Ser-v'ices or Feeders $ 19.00 -- $50.00 $s0.00 $25.00 _ $-15.00 .,/ Erectrical Contrrctor rt4f 6 //,(Ztr' Address Expiration Date 0 / Super-v'ising Electrician I {' **"<_ or rvith Senice s 3.00 - Inspection Fee is 545.00 + Surcharges 1 TOTAL Permit I Ol-o o *26-o 200 arnps or less 201 amps to 400 arnps -101 anrps to 600 amps 601 an4rs to 1000 anrps Over 1000 amps/volts Reconnect Only C. Temporary Scrvices or Feeders InstaUation, Altcration or Rclocation Date E.xpiration Nu a"ri-Constr Contr. 200 amps or less 201 amps to 40{ amps Over 401 to 600 arnps Or.er 600 amps or 1000 r,olts see "B" rbor c $ 5o.oo _ $ 63.00 $ 125.00 $163.00 _ $375.00 _ $ 50.00 _ $69.00 --$1oo.oo _ OWNER INSTALLATION The installation is being nrade on properr.!'I olvn w'hich is not intended lor sale, lease or rent. Orvners Signature: 4. SUBTOTALOFABOVE 7oh State Surcharge 8%o Administrative Fee