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HomeMy WebLinkAboutPermit Electrical 2001-4-16 , lne 10\lowi09 cles submilled n~~c laOd use , ,ne 'ollow,og prole 001 require spec od does zOOIOg, a ~ II 225 FIFTH STREET aQprovel" ~ ' SPRINGFIELD, OREGON 97477 zooi09 - I L- , to' 0 I'. INSPECTION REQUEST: ,726-37.69 ~ ~~ OFFICE: 726-3759 Dale - "oelure- AUlnOriZed 519 3 , 1. J.JOCATION OF INSTALLATION '18{)~ M.{'j~_~9T. A. 170L 32..3. z.. 0/70 ( LEGAL DESCRIPTION frP.,r.,t, ,<;M; ~f; ,'til'J1J A'J..." PM t/;B DESCRI~ION (\ f)ItOE Jm. 71r1J J{~ Permits are non-transferable and expire if work is not started within 180 days of issuance ~r if'work is suspended for 180 days. . 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor S--n... J_EJ\Jr./ Address tPD (JDY /lrJ;;-C; '<5"O~ City S~1JO'::{-1J/l.. Phone ~ 1/'7- /Jt'1 Supervisor License Number :7, /,!{t;S Expiration Date /Il,-j-{) I Cons tr Con tr. Number J~--<=JR 1 , Expiration Date ?;-/J4 -n-;'" Signature of Supervising Electrician fhJ.. ~ ' Owner~ Name A (:2C.Q Address, /bO= Ci tyvr-atlbl >u ~(/L 5+ :;5<:)3i r/A'" Phone b 8'1- b(:;U"f OYNER INSTALLATION The installation. is being made on property I owp. which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: {)I.f (/, 0 r' RECEIPT II: RECEIVED BY: -19'tb - - ,Ms.. - ELECTRICAL PERMIT APPLICATION :City Job Number 01-00 37Z-0( COMPLETE FEE SCHEDULE BELOII .~ New Residential-Single or Multi-Family per dwelling uni~. Service Included: Items Sum Cost 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 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 $ 50,00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C, Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits " New, Alteration or Extension Per Panel One Circui t J Each Additional Circuit or with Service or Feeder Permit ~ I/o/'- $ 35.00 I ^-~ $ 2.00 .Li... E. Miscellaneous (Service/feeder -Each.installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Li~ited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.0el: -l $ 36.00'gr ;:0 : c::. ~ 1f8J ,.,., fTl UJ C"'J..# 0>>.. ---. -,0 ~~'I' C ~~f~ 0" ", ....0 0 .p. .........uo........o-.