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HomeMy WebLinkAboutPermit Electrical 2001-3-15 A. . J.. V L DATE: MAR 15 2001 MT RECD:2 $ 39.60 ~LECTRlCAL PERMIT APPLICATION CHANGE: .bASl-lIfiB :,()01 City Job NumberC>! 00 /Cf6 - ~ , I COMPLETE FEE SCHEDULE BELOll 4< Ne~ Residential-Single or . Multi-Family per d~elling unit. Service Included: Items Cos t Sum e 0 oWing praise 85 su ml e as 0 zoning, and does not require specific land use approval. /l 225 F:fFTB STREET Zoning l'1!.. SPRINGFIELD, OREGON 9r1,{1,?7 ~, 6-0,1 \ ~INSPEcrION REQUEST: 726-3769 .0 OFFICE: 726-3759 Authorized Signature ~ 3. 1. LOCATION OF INSTALLATION 238() main .<i+ LEGAL DESCRIPTION /7 03 6(, Lj/ 01 30/ JOB DESCRIPTION if)~ro/l Security Permits are non-transferable and expire if vork is not started ~ithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRAcrOR !NST,*LATIP~ag%! HJ \(.111" " ','" ,." '.'i'< rlrc:'10n 1Il'IPlV Eleqrical Contract.oC' S,cfnLt ro.l. .~.",cur i ty '.J{lllCcJIUl ',..1." t\ 1'"Jl; uro~ :11-':- ..,;:;t ....r.,: Addr.es's ;p.>:OI.1J 1801" U 2\110 0.9 OArl952-0Qi- '-lU9lJ. Y-:J,. n."" "",'Ir ~,')I<lt ')lma rUl9S oy C i t y;oE'u u e ne;""l'~. ,'JCJ,phone:(4 6"r~:5'6 7 8 nU.lIO,,' . . j . ".',\ .,Iolj!ir"tior> Supervi sor.Li,cense Number f(A!f 'if. E'L -Expiration Date jO-bl- oJ Constr Contt'. Number 65149 Expiration Date ,,; 'C_...) 7/0~ Si~ature of Supervising Electrician ~/~ Ovners Name IJld ~m/n//)rI .;ddress 2~8'/) main Ci ty 5pn'~P,'.ek:l Phone 744.(P2!fl, OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale. lease or rent. Qvners Signature: D~TE~-:;:)-:-25/-------------------- RECEIPT #: 4(t> / <7- ,. . RECEIVED BY: j..J, /llf-IChV-.-fI/U 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder S 85.00 S 15.00 S 40.00 B. Services or Feeders Installation, Alterations or Relocation: iW)TICE' ~Q9 ic,~p..,s, '~r less. S 50.00 201Saml'is-1lto'31400_ -'!!IlP~~l: Il:TU"V,sOI'.Q;. 00 4'0'lrfa!'1P~~U>uI'P9:ff~P,~.::---- S lOO'. 00 601",amps to 1000 a'mps ~nlv" nfsl~i3'O-. 00 Dve r'V1i600:laf;;'p:'s';.v'o,Ilt'sDUNED FOS'300. 00 Relo'r1l1eC"'tYOtflYOD. S' 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation D. 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits S 40.00 S 55.00 S 80,00 see liB" above Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or ~ith Service or Feeder Permi t S 35.00 S 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included: 1 S 40.00 S 40.00 S 20.00 S 36.00 3&'= 5. SUBTOTAL OF ABOVE ,% State Surcharge 3% Administrative Fee TOTAL :3l" em 25~ 10'6 :~cj (pO