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HomeMy WebLinkAboutPermit Electrical 2001-7-26 . The following project as submiUed has the tollowing zonlng~nd ~oes not require specific land use approv., 11 A D1? 225 FIFTH STREET Zoning IVVV~ . ELECTRICAL PERMIT APPUCATION SPRINGFIELD, OREGON 97477 '7~OI INSPECTION REQUEST: D3}~~; 'PI).. . City Job NW1JberO/~007L(<J-,OI OFFICE: 726-3759 Authorized Signature' ' liI\ 3. COMPLETE FEE SCHEDULE BELOY .,..J.__'~?l 1. LOCATION OF INSTALLATION - - ( i'P5f?C; main Sf. A. New Residential-Single or l7J,-- \. Multi-Family per dwelling unit. IV, LE~AL DESCRIPTION Service Included: (702... 3LtI./t./ 0/ I 00 Items Cost Sum JOB DESCRIPTION insfall Sf'J'.ur,'+u i Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 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 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Son it ro I Secur j ty or Relocation: Address P.O. Box 21009 Ci ty Euuene Phone 461-5678 Supervisor License Number /(Pgej R.ET Expi ra t ion Da te /0-0(-01 Cons tr Con tr. Number 65149 Expiration Date 6-28-00 Si~ature of Supervising Electrician 0A'~ Ovners Name Dale /2; ~(/anr- Address &5Jt:j rn:ll'fl sf. Ci ty Sorfna,fifld Phone 7~0 -5?~& 2 I J OVNER INSTALLATION / The installation is being made on property I oun vhich is not intended for sale. lease or rent. Ovners Signature: --------------------------------------- DATE: 07/ '80 ( RECEIPT #: RECEIVED BY: utl ~\ / ~ 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 S100.00 $130.00 $300.00 $ 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 D. Branch Circuits Nev, Alteration or Extensiort Per Panel S 35.00 Miscellaneous (Service/feeder -Each installation Pump or irrigatiort Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE '7. State Surcharge 37. Administrative Fee TOTAL $ 40.00 S 55.00 $ 80.00 volts see IIB't above $ 2.00 not included: S 40.00 $ 40.00 S 20. 00 d-l'J'TP S 36:> 00 :3: -t -to:7.l DD ;d{) ;;r;J-t:;o:: ..L.t{(1~.#' ~. w~ c:: 0, .::it:J -/it\ I ni::cHi:oCS ::::ODr->..J (:) u :z r':n....,) Ci' OQ- O~ 0-. rn C) a -.j ........ C)~.,.,o