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HomeMy WebLinkAboutPermit Electrical 2001-2-9 " . SPRINGFIELD The following project 85 submitted has the tollowing zoning, and does not require specIfic land use 2.2.5 FIFTH STREET approval ~ SPRINGFIELD, OREGON 97477 Zoning INSPECTION REQUEST: n~~769 OZ-7-~....) OFFICE: 72.6-3759 AuthOrized Signature j. COMPLETE' FEE SCHEDULE b)5~cr'{;~5~~WXTI~N 51-1 7.5/} Jar YI ::n-v-e e..1- LEGAL DESCRIPTION 190 ~ 33L.{::J..... 0'3300 JOB DESCRIfTION I /- ~"VI"LI;+ -I-v poweY" po e.... Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days, 2.. CONTRACTOR INSTALLATION ONLY Electrical Contractor Philins Electric Address 17qR P'"..),,,1 1)ri"" Ci ty EUQ'ene Phone(~411 f,RR-h171, Supervisor License Number 771qR Expiration Date 10/01/01 -. 'TRA~S#:01-0004419 DATE:FEB 09 2001 AMT RECD:2 $ 38.50. CHANGE: CASHIER: 059 o I-DOllS -'000 1 ':';LY Job Number ELECTRICAL PERMIT APPLICATION ~w:," * Items Cost Sum A. Ne~ Residential-Single or Multi-Family per d~elling Service Included: $ 85.00 $ 15.00 .$ 40.00 $ 50.00' $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 2.6-34C C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 10-01-01 Signature of supervi~ ~~rician <;:0 . . b 'Njltnan ~l'\J..L1pS O~ners NaiTIe -BI()(.~ UlS1-e.V- Vi~ Address 5475 VYlo.. i Y'\. ~i Ci ty ~(" I (\o;1i ,.,IJ...Phone 22.h~h/(I-L/5 OYNER INSQALLATION The installation is being made on property I o~n ~hich is not,intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: " 1000 sq,f~. or less Each additional 500 sq. ft or portion thereof Each Manuf',d Home. or Modular 'D~elling . 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 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " Ne~, Alteration or Extension Per Panel 3 c:', 00 $ 35 . 00 :..;, Miscellaneous (Service/feeder -Each installation .Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Add it i anal Circuit or ~ith Service 'or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% S ta t e Surcharge "'- 3% Administrative Fe~ TOTAL ...L $ 2.00 no t included) $ 40.00 oS 40.00 $ 20.00 $ 36.00 35.<:70 g,50 - :::5H _ vU