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HomeMy WebLinkAboutPermit Electrical 2001-3-14 SPRINGF~ELD .1' The following project as submitted has the followin zoning, and does not require specific land use approval. ---t-7 Zoning -t'1 jJ 225 FIFTH STREET Date 2, ~ I Y: -0 \ SPRINGFIEW, OREGON 9747Zull10Jiled Signature -I...vJ INSPECTION REQUEST: 726-3/b'J - OFFICE: 726-3759 >T "CTRICAL~EBHT APPLICATION \;HY Job NunbEI c') ( - o-v ;l3'-{-0 ( COMPLETE FEE SCHEDUll, BELOV New Residential-Sin~l~ or ::k Multi-Family per dWElling unit. ' Service Included: . Items Cos t Sum , 3. 1. LOCATION OF INSTALLATION 15o-? N\Al,!"t..Rh .4,\p {GA~::lf;o/R.b P~RJ2) A. LEGAL DESCRIPTION $ 85.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf' d Home. 01' Modular 'Dwelling Service or Feeder JOB DESCRIFTION bJE',:" ,. ,_:)'t'-..>:..R6R./)l..l"-"-" ~P-v)/"A $ 15.00 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 $ 40.00 Services or Feeders Installation, Alter;..:ions or Relocation: .B. Electrical Contractor ~\~ $ 50~00 IISD ~ $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps o'r less 201 amps to 400,amp:; 401 amps to 600 amp" 601 amps to 1000 amp" Over 1000 amps/vc:.lt,; Reconnect Only Address Phone --" City Supervisor License Number LfO 2 <.. S Expiration Date f ()-]-o \ Constr Contr. Number /VA Temporary ServieE,s .",. Feeders Installation, Altera:ion or Relocation C. 200 amps"oT less 201 amps to 400 2;mp.: Over 401 to 600 amp.; Over 600 amps or 10'}) vol ts $ 40.00 S 55.00 $ 80.00 .see "B" above Expiration Date l\LA Signature of Supervising Electrician 0mmdA. D.~~II/ Owners Namell )"IIJ.~.I "'N' Br/( Dl-5"i ~ Address?rv> <. ",,;f( . Branch Circuits D. " New, Alteration or .,,,tension Per Panel , lOne Circuit S 35.00 Each Additional Circuit or with See_ice or Feeder Permi I: .Z.... $ 2.00 Phone '73/-,- '10117 Ci tYSl>~I""'t:I..c:Jf') <(.-""' OlINER INSTALLATION . ( ~ The installation is being made on property I own which is not intended for sale, lease or rent. E. Miscellaneous (Sl!rvi;:e/feeder not included) ." -Each installation Pump or i rriga t ion S 40.00 Sign/Outline Lightinr~ $ 40.00 Limited Energy/Res S 20.00 Limited Energy/Comm $ 36.00 Owners Signature: 4" 5'1~ ?,~7f3 ,. i ,6 Z. /7 C:Cf,Lj /} zm: ~:m-l~H'1 ~~~~~HIiAf-~;~~~--~---------------------------- tooz ~ .~. L99~00u- .::iN l' 5. SUBTOTAL OF ABOVl> 7% State Surchaq~e 3% Administrativ.~ Fe" TOTAL