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HomeMy WebLinkAboutPermit Electrical 2001-3-22 . 5 . '-'- '- 1 AMt'211:fmrt1'5ffigfiT70 SPRfNGE'R~~,~;t~70Q FAX (5Ji~m~~Oj ELECTRICAL PERMIT APPLICATION Ci ty Job Number CJ(J - O~ 'I-I (J The, following project as submitted has the following zonmg. and does not require specific land use approval. 225 FIFTH STREET Zoning SPRINGFIELD, OREGON r51J.6177 "J INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 AuthOrized Signalure 6.D..iIZ.. /'7;2..-01 -ktJ.-J 1. LOCATION OF INSTALLATION tof') S-.2, <M1 /Hu l :3 r LEGAL DESCRIPTION J 7,fJSk_34 .':? -? /?/.:j/J () JOB DESCRIPTION AJ?A1.( f/,tt{!u/T.f - ~~&~./{( rifc- Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or ifcvork is suspended for 180 days. 3. COMPLETE FEE SCHEDULE BELOll A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dvelling Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Elec t ri cal Contractor or Relocation: Address /" 200 amps or less $ 50.00 / 201 amps to 400 amps $ 60.00 City Phone 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Supervisor License 7 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 Expiration Date Supervising Electrician Ovners Name 1 Art. 'l"'1 FA ytytJ'5 Address (,0':'- 3. , /"l.<J..,j Ci ty Sp Phone S'.s /"- 0 'iJJ I OllNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, e e or rent. re: DATE: RECEIPT 11: RECEIVED BY: 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 Do Branch Circuits Nev, Alteration or Extension Per Panel One Circuit / $ 35.00 Each Additional Circuit or vith Service or Feeder Permit --LL- $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00. Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. "75:7 "Jo1' ''':~ ",_.3 .,. ---M~'~ . S-:;:?(%) 3,)> /.71. {o7-70 , SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL . . \ ~-- \ ,~ f --- , d t- D I \, ./ /----- /' t r I ..- -----.---.-----..-- --.- '-~ , -......... I '",,- IV / --- , . / ' /' / .' \ \ \ ~ -- ~00:~3IHS~J ~\ 00.00 $:39N~HJ --'-------''C::_ --,- OL'~8 $ 0:aJ3~ lW~ 1000 II ~~W:31~a g~L~000-10:#SN~~1 ~\_- / //J I .---- -------......- ~ - ---;./ // /' ---.~.-