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HomeMy WebLinkAboutPermit Electrical 2001-9-24 (2) ,... 01- (Pl/, ' 225 FIFTH STREET The following prOjeC.bmitted has the fo~TRICAL PERMIT .CATlON SPRINGFIELD, OREOOlih@741ila does not require specific land use I I INSPECTION REQu~.t1OY!6-3769 I oc City Job Number 01- 0 f 0 , .. -,0 I OFFICE: 726-3759 Zoning..... , , Date q ~DI 1 rnMPT PTE FEE SCHEDULE BELOW 1. LOCATIONgFIN~TAIiT. LATION t' '''''PI~ / G lJ ~uthonzeCl "STgna ure -1)'\.{. _ IlP -, . D7TiJ N l.VooD A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION ~J-fja.) JOB DE~RIPJ:h +\ .P: .' FAt.. 11, 03 -1.1.:;~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, 2, CONTRACTOR INSTALLATION ONLY Electrical Contractor JB ELECTRIC. INC. Address 4065 W 11 tho #18 City Euaene. OR 97402 Phone 541.687.5770, Supervisor License Number 3872S Expiration Date 10/1/01 7(00 Items 1000 sq, ft.. or less Each additional 500 sq, ft or portion thereof Each Manuf'd Home or Modular Dwelling 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 Constr Contr, Number 37587C CCB C, Temporary Services or Feeders 104929, Expiration Date 1011/01 3/14/04 , Signature of Supervising Electrician \ ' J~ {J' Owners Name '~ol\lAJ;-e "5 VV'; "(Ii Address J (p C'j t) unto 1J woo 0 City Sorinafield. OR Phone '? l./.7-1I7 t.f.. OWNER INSTALLATION cnq.77 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: zm: 1~::llH::itj:J :39NUH8 gg'08~~.:.aQ~rlWUf7r11 lOOG " ~100 ~ '1 I~L90 0-10:#SNU~1 q-(~-O r t<w 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see B above D. Branch Circuits New, Alteration or Extension Per Panel I One Circuit Each Additional Circuit or with Service or Feeder P,"H1~~ 7 _ E, Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited EnergylRes Limited Energy/Comm 5, SUBTOTALOFABOVE 7% State Surcharge 8% Administrative Fee TOTAL Cost Sum $106,00 $19,00 $50,00 $63.00 $75,00 $125,00 $163,00 $375.00 $50.00 $50.00 $69.00 $100,00 $43,00 if) Lt $3.00 $50,00 $50.00 $25,00 $45,00 y.q t.jr; ?J 4-3 . 3 qt. ~& '3$'