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HomeMy WebLinkAboutPermit Electrical 2001-9-24 The 101l.9 project as submitted has the tollowing zoning,p does not require specific land use 225 FIFIH STREET approva '. LD rJ ELECI'RlCAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ZOning . "\ 01 INSPECTIONREQUESTPI1a6-3+(~ q~ ~~J JtL-:~.....her n(. 06972 -01 OFFICE: 726-3759 Authorized Signature ~, . 3fJ COMPLETE FEE SCHEDULE BELOW Address \~ -A-cJlo~ /..:FnQ. City~P .n phOne 1St '\;:1(',,-0'10 l SuperYisor License Number '3::;;t",=)<::) E.....:''';';an Date /0/0 ( Constr Contr. 1 ;.....;,_ ;;(-) VG') C :....:...;;an Date /6/ rJd , 1. LOCATION OF INSI{\LLATION \ .~ .~<, m()'\.{\~. ~L\f')~ LEGAL DESQUPTION l,o-S3 5;'f( o nOD JOB DESCRIPTION <;0 ......f~r o. \l"rlllJ'm[)~o ~ Permits are non-transferable and expire if work is not started within 180 days of is....neP. or if work is so."P""~ffl for 180 days. 2. CONTRACTOR INSTALLATION ONLY F.1P.dri",,1 Contractor0.r! e_ Ele.ci"II'~r Si_~ of Supervising Electrician ~4~--5- Owners Name-=::; ,PFu /Ut)/..fLe: p~C- Address Citv Phone OWNER INSTALLATION The installation is being made on r,~......~J I own which is not mt'"'~P1l for sale, 1ease or rent Owners Signature: 190 : ~mHSt':J : 39N\!H:J Og'Lg $ 6:a:J3~ lW\! 1006 LO d3S:31\!a Lr99000-10:#SN\!~1 . A New Residential-5ingle or Mnlti-Family per dwelling unit Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwe1ling Service or Feeder B. Services or Feeders Installalion, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 40 1 amps to 600 amps 601 amps to 1000 amps , Over 1000 ampsIvolts Reconnect Only C. TempoI3Iy Services or Feeders 1'l....n.tifl11, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 40 1 to 600 amps Over 600 amps or 1000 volts see "B" above D. 'Branch Ciicuits New Alteration or E'IfP.n<inn Per Panel One 'Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder not included) -Each instATIArion Pump or irrigation S~Iighting Limited EnergyIRcs Limited Energy/Comm Items Cost Snm $106.00 $ 19.00 ~ ~ S 63.00~ ..,,') $ 75.00 $125.00 $163.00 _ $375.00 $ 50.00 $50.00 $69.00 Sl00.oo $43.00 S 3.00 S50.00 $50.00 $25.00 $45.00 M". .:"'.,.., Electric Permit Inspection Fee is $45.00 + Surcharges 5. SUBTOTALOFABOVE 7% Stale Surcharge 8% Adm.i.nL....~.... Fee 57J!!-