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Home My WebLink AboutPermit Electrical 2002-07-09v 225 FIFTH STREET GON 97477 726-3 OFFICE: 126-37 I. LOCATION OF INSTAILA 58 j i7+L' s 169 ELEw^TUCAL PERMIT LEGAL DESCRIPTION t7o33Lq 7 oz-7oo JOB DESCRIPTION N e City Job CJ L-oos70 3. CON{PLETE FEE SCFIEDULE BELOW A. Nel' Rcsidential-Single or Multi-Family per du,elling unit. Service Included: Items Cost Sum d Horne or $ 106.00 TIONr dFd b<tsr,n( L* P' Permits are non-transferabl if work is not stzrrted rvitliin Cit)'Phone Expiration Constr {?nd does L daygonino - O"' s r 9.00 ofissurtnce or ifrvork is suspended for 180 days.Date or Feeder Authorized Signature 2. CONTRACTOR INSTALLATION ONLY B. Sen'ice.s or Fecders Electrical' Contractor Installation, Alterttions or Relocation: Adclress 201 aurps to 400 amps 401 anrps to 600 60 1 amps to Orrer I Or.er 600 "B" aboYe Expiration Dlte- Sign aturc of Supcn'isirr g Iilectrician 0lner.r N b*(cA Address 5-83 I e+ a f ,\S(rr-l phone 7q'/ -267 7 L). Brirnclr Circuits New Alteration or Extension Per One flircuit Each Additional Circuit or u'itlt or Feecler Permit E. Iliscellancous (Sen,ice/l'cetler not included) -Each installution Pump or irrigation Lintited Energl,,rRes Li rrritucl Energr'/Comnl 4. SUBTOTALOFABOVE 7%o Statc Surch:rrgc 8%o Administrative r.e["{ Pancl =-- $4i.oo OWNER INSTALLATION The insttrlltrtion is being urade on propert]'I ou'n *'hich is not intended $3.00 {,r for sale, lease or rent. Oryncrs Signature $50.00 $50.00 $2-5.00 $+5.00t* trIinimum Electric Permit Ins;lection Fee is SJ5.00 * Surcharges /g TOTAL <o zo73 $ 50.00 $ 63.00 $ 75.00 $ 125.00 s r 63.00 $375.00 $ 50.00 $50.00 _ $69.00 _ $100.00 Supen'isor License Nnttber Feeders or Relocation or less to 400 amps ( lz6--TW- 225 FIFTH STREET SPzuNCFTELD, OREGON 97-177 TNSPECTION REQUEST" 7 ?6 -31 69' OFFICE: 126-3759 T Citr 3. COIVIPLETE FEE S EL--^RICAL PERMIT APPLICATION Joll Nrrnrbcr o\ LEGAL DES ES are ifrvork is started within I80 days of issuance or if rvork is suspended for 180 days Multi-Family per drvelling unit. Sen'ice Inclutled: t Each additional 500 l0C0 sq.ft. or less sq. [t or portion the:eof h Manufd Horne or ular Drvelling Seri,ice or Feeder ',, I :; ',' ,.... A.N :4ioz. Items Cost $106.00 I w r i,i rNsrat-lertoN :,:.LY B. Ser-yiccs or Feeders Inslirllation, Altcr:rtions or Rclocation: Add Citv Constr Expiration Fhone 200 rtmps or less' 201 arups to 400 amps 401 :rmps to 600 amps 601 rurps to 1000 amps Over 1000 amps/volts Reci nnect Only $ 125.00 $163.00 _ $ s0.00 Date of Supcrvising Elec iln Over "B" irbove D. Branch Neu :l-1. ':: i Cir'cuits or Feeder Pennit $ 3.00 Linrited Energv/Res Limited Energy/Comm I\linimum Eicctric Permit Inspcction Fce is S-t5.00 * Surchargcs 770 State Surchirrgc 8%, Administrative Fce !) r) for sale, $45.00 \eu.q\plL ror.tr- }1fiCun\ dt\re- : '', :", '' . . :.. : i:,i:,* :... , . ': $ 50.00 CONTRACTOR Supen'isor Expiration Panel @ I ELEC ^ ^ JCAL PERMIT APPLICATION225 FTFTH STREET SPRINGFIELD. OREGON 97177 INSPECTION REQUEST : 126-3'7 6 OFFICE: 726-3759 Citl'Joh 3. COMPLETE FEE SCFIEDULE BELOW A. Neu' Rcsidential-Single or I LEGAL DESCRIPTION 7o.ct -t ctx d )aO Multi-Family per du'elling unit. Service Included: Items Cost $106.00 _ LOCATION OF INSTAILATION t; l / /Z{'rT 3 o .JOB DESCRIPT,ION . /(;t-c{tl ctra ('_.t tr' ( ( t *;;J -transferable and expire if work is not started lvithin 180 days ofissuance or ifrvork is suspended for 180 days. : 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor 1000 sq.ft. or less Each additional 500 sq. ft or portion tirereof Each Manufd Home or Modular Drvelling Service or Feeder B. Sen'ice.r or Feeders Installttion, Alterations or Rclocation: 200 amps or less 201 amps 1o 400 arnps $ 19.00 _ $ 50.00 ()-1 $375.00 00 00 $63Address Supen'i or less Number on Date Signlture of Supenising Electrician to 400 amps Over 401 to 600 arnps Ovcr 600 amps or 1000 "B " abot.e volts see Orvncrs Name Zttl{s/Lfu'1 1 ztl ( //t on"'? t17-'le'/{ OWNER INSTALLATION The installation is being urade on propertl' I ou'n u,hich is not inlended for sale, lease or rent. D. Branch Circuits Neu, Alteration or Extension per panel Each Additional Circuit or l,ith Service -- .$43.00 _ ,f sz.oo )L/.ot $50.00 $50.00 $25.00 $4s.00 la )- aa,b u or Feeder Permit E. Nli.scellaneous (Ser-vice/feetler not inclutletl) -Eirch installation Punrp or irrigation Si gu,/Outline Lighting L i ru i rccl E nergl'/l{es Lirnitccl Energr-/Comm . {. SUBTOTAT,oFABOVE 7oh Sttte Surcharge 87o Administrative Fcc IVIinimum Electric Permit Inspcction Fec is S15.00 * Surcharges Oryners Signature TOTAL N OAB ISGTTOE: Al\ly rS0 0Ay r0R WUfiiF ls iJ0r-s ,50.00 or Feeders Installirtion, Alteration or Relocation $69.00 _ One Circuit il 225 FIFTH STREET SPRINGFIELD. OREGON 97477 INSPECTiON '726-3'769 OFFICE TIO unit.zonlng. an LEGAL D ESCRIPTION appro')Ac L'='rL, service Incluaea:7. /") r"l JOB D ON Date Permits are non-transferable and e.xpii'X. - 'l if rvork is not srarted rvithin 180 da;s i.i]i1', : r of issuance or if work is suspended fcitt'XXi,,r,; l80days. : ri*;;::: 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor B. Sen,ices or Feeders Instrrll:rtion, Altcrations or Relocation. 200 amps or less amps Signature '0v 00 sq or less sq. ft or portion thereof Each lvlanuld Homc or Ivlodular Drvelling Sen,ice or Feeder Items Cost Sum ullai Address City Supen'isor Expiration Constr Contr Expiration Signaturc ld+A "Pr,on. 7 201 amps to 401 amps to 601 an-rps to t ,/-/ s e: oo 63 ,1"' $ 125.00 $163.00 _ 400 600T1000 $50.00 I Ie2-loj ame t---1 1 t; t- ol'Sup en'rs Electrician a D. Branch Circuits -' Ncrr Alteration One Circuit I ti ,:'". Phone or Feeder Permit Linrited Energv/Comm Nlinimum Electric Permit Int 1. SUBTOTALOFABOVE 7oh Strtr: Surch;rrge 8'% Administrative Fce TOTAL not inclu property I or,vn rvhich f,or sale, le:rse or rent. Orvncrs Signature: AU 00 NNY 1 - $50 _ $2s $+5.00 spection Fee is S-15.00 + Surcharges ('='*' ' o 72:/S ELEu . .-CAL PERMIT APPLICATION 3. COMPLETE FEE SCI{EDULE BELOW 1. LOCATION OF' Center. Date OWNER The installation is Lighting $ 106.00 $ 19.00 _ $ 50.00 1)A {(Q C.' Temporary Services or,Fedtlers Installation, Alteration or RelocationO SHALL EXPIRE IHIS