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HomeMy WebLinkAboutPermit Electrical 2001-1-9 . _. ~c 1'r:;'Jr~Mi.I.1 ::";:.rl 't/JC.::.. U'.rJ;,(i II.lel'. I .tt dhasthe10\\OWlng c\ as subml e 'f land usa The to\\QWlOg prOl9not require SpOCllC d does lonlng. an 1\ " appro\lal. \..:.,.'-"'" 225 FIFTH STREET Zoning - _ 0 \ . SPRINGFIELD, OREGON 97477 \- q =-r-vJ INSPECTION REQUEST: D"J~b-37~9 nalura _ " OFFICE: 726-3759 AUtnorilad Ig I..'"} LOCATION OJ; ~ INSTALLATI~N A rl... I :;L'1- ..../Ylr.I.^ rn I~ tU/' LEGAL DESCRIPTION 170 ~ 2S'Z;, 06/" 0 JOB DESCRIPTION <;("(U/l-)/"I )'Y"~ 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 ADT Security Services Address 4660 Main Street. Bld2 A. #100 City Sprinefield Phone 736-4973 Supervisor License Number 853 JLE Expirat'ion Date 10/01102 Constr Contr. Number 26209CLE Expiration Date 10/01/01 Sign~ure of Supervising Electrician #;~ ~.~ . J' Owners Name ~o,q.V\~ ~AJ.~,c...s: Address 2/2 Z City SPF~ nil M2-c.o L ,4- e.d Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT lI: RECETVED BY: 01 " C; 0 ( ~/1.1) '\.f3. 225 FIFTH STREEf SPRINGFIELD. OR 97477 (541) 726.3753 FAX (541) 726.3689 ELECTRICAL PERMIT APPLICATION - City Job NumberO/- 00030 - 0 I 3. COKPLETE FEE SCHEDULE BELOIl . New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum A. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm ~ not included) D :3: -l $ 40.00 -l 0 ;:0 -D $ 40 . 00 ;:0 -l :z: -~CJ) $ 20.0Q-, o..!:' $ 36.0~ ~ :c I ..,./ ....0"'00 ...>b m::J:: ....00 ~ -, GJ 0 .. :z:....o r-..J.p.. ~.O".J 0-- rn 0" 0 ....... 3:7'~' .0......<.71 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAl.