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HomeMy WebLinkAboutPermit Electrical 2001-12-17 The lollowing proJect as submitted has the following . zoning, and does not require specific land use approval. Zoning I JY\ I.. 225 FIFTH STREET Dale ,~lli ! 0 , SPlUNGFIELD, OREGON 97477 1)11 .J J lvv' INSPECTION REOUEST!lUI"?2~_'3,~~a~ure -~~ OFPICE: 726-3759 '1. LOCATION Of plSTALl.ATION ~.h 2'4' IVhd A/ LEGAL DESCRIPTION (70'2. '37.LfZ 0010'3. . JOll DESC.aIl'TIpN 'l~ A-,".(.d" t/./~(./A-/ . Permits are non-tr~nsferable and expire if work is not 'started within 180 days of issuanc~ o~ if work is suspended for 180 days. 2. CONl'RAcrOR INSTALLATION ONLyB. Electrical Contractor~~ ~~ Add,'ess .kit"'? 7L /):3#.f.. a:.NP CitY Gl'~ Phone bJitt-tfYt/5" superviso~ License Number ~~~~~ Expiration Dale /q/ ~t1/.j Constr Cont~. "umbe.' ~4'ij3 / Expiration Date ,,!h/<1Z Supervising Electrician "--,~ Owners Name VY)..Rl< fJ ~ V . Address L\L\.b E.. ~(ou...d.J...00..-'1 City P \ 1'1 Phone lo~3.-q()Cl) O\INER INSTALLATION The installation is being made on property I Olin which is not intended for sale. lease or rent. Owners Signature: --------------------------------------- DATE: "LqO:Mr;:~~ .: : 39N~E1VED BY: 08'6~ $ G:aJ3~ IH~ "LOOG "LG ~DN:31~a O"L[~OOO-tO:#SN~~l (J(D :.' ... . .~, .'. _.f ',-.:! ',- . ELECTRICAL PERlUT APPLICATION City Job /lWDber 0/~ 0 I Z 9 2"-0 I 3. COIIPLETE FEE SCHEDULE BELOV Items Cost ~: 1.... " . ~ .l.~j: Sua ~" "fl.'" .' .tj) ;! r~'.'l 'ft, "'Hi A. Ne~ Residential-Single or Multi-Family per dwelling unit. Se~vice Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each lIanuf'd Home. or Modular'Ovelling Service or Feeder 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 $ 85.00 $ 15.00 .$ 40.00 ',' ::~~'.. . '..l' S 50.00 $ 60.00 $100.00 $130.00 $300.00 S 40.00 .:~i~ . ~'.. c. Tempo~ary Services' or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps ----- Over 401 to 600 amps Over 600 amps or 1000 VOlts D. Branch Ci rcui! s S 40.00 $ 55.00 $ 80.00 see AD" aDOVC .' New. Alteration or Extension Per Panel One Circuit I $ 35.00~ 43 Each Additional .3 . ~;r~~;de~rp~;~~tserv~ $ ~O ~o I Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outlin.c Lighting Limited Energy/Res . Lind ted Energy/ColOm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 S 20.00 $ 36.00 J..{-f" SZ '"t":5'.IU - ~/~ ;. ", " ~~,. ,. .~ ..01....