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HomeMy WebLinkAboutPermit Electrical 2001-9-24 The fOliO.' reject as submitted h.8.S the toll owing zoning. a as not require specIfic land use 225 FIFTH STREF:f approval. ~ SPRINGFIELD OREGON 974ifmng q hll ( INSP&-Hvl'REoUES1lten~ 37(9 ~ O?f!:- I w"fijOONmnbef (1) /- 00 773,0 I OmCE: 726-3759 Authorized Signature .J.K~ i . 3. COMPLETE FEE SCHEDULE BELOW *' .1. LOCATION OF ~TAL'!,.ATION..- rU ~. I;::) (/1 -<, fY1 r1 . r\ ~t. .:...\.l,- 0 -/ A New n...."-'Jial..single or . - . MuIti.-Family per dwelling unit. Scrvil:e L:..dt...:: . ElECTRICAL PERMIT APPLICATION LEGAL DESCRIPTION 17033-S-'i( 015700 Items Cast: Smn JQB DESCRIPTION .::::0 ..\1 ; C1 \(Cr,A-r-\D c'),.- \ (llb.- 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Mannfd Home Dr Modular Dwelling Service or Feeder SI06.oo Pemrits are non-transfcrable and expire ifwDIk is not started within 180 days of is=.n"" or if work is suspended for 180 days. 2. CONTRACfORINSTALLATIONONLY S 19.00 -- -L $ 50.0050 Electrical Contractor A 0{ Q_ <1 t (J Arl ,-. Andress l~ 01\'\ dJ (6n (Jl. City$!2R-Q PhOne 'l~ -{flI'}(J ( Supervisor License Nmnber. ?ch2~ )&! () I v Constr Contr. Number ~ c.; (0 f) L lo/tJ'd-- B. s...,:""" or Feeders Installation, A1temIians or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps . Over 1000 ~ R~-.....; Only - XS 63.00 €0:5 - S 75.00 $125.00 $163.00 $375.00 S 50.00 Expiration Date C. T ........~~J Services or Feeders Tn"",nRlinu. A1ter.d:ian or Relocation Expiration Date . .> c::::r- ~ './ " ..:> ------.. 200 amps or less 201 amps to 400 amps Over 40110 600 amps Over 600 amps or 1000 volts see "B" above '_ S50.00 _ S69.OO Sloo.oo Signature of Supervising Electrician Owners Name S I' Ft') "LtI&/(~ (,dQ(C- D. . Branch ciic:oits New A1ter.d:ian or 1<........,;00 Per Panel Andress One Circuit $43.00 Citv Phone OWNERINSfALLATION Each p.itmtinnol Circuit or with Service or Feeder Permit S3.00 The in.<:flInRlinn is being made on 1'.u.......J I own which is not mtP.nitP.iI for sale, Jease or rent E. Misce1IaDeoos (SetviceIfcedcr not inclndcd) -Each jnd~nMion Pump or iTrigl'rino. SignfOulline T -igl1til1& Limited EncrgyJRes&T ;mnM Energy. w...... $50.00 $50.00 $25.00 $45.00 Owners Signature: 190:~3IHS\J'l : 39N\JH:J Og'Lg $ G:O:J3~ lW\J 1006 W d3S:31\JO 8~99000-10:#SN\J~1 M',,:.. .,,, Electric Permit Inspection Fee is $45.00 + Surcharges 5. SUBTOTALOFABOVE 7% State Surcharge 8% Admini.,;''';;''w Fee PAY TO THE ORDER OF SPRINGFIELD BRANCH US NATIONAL BANK OF OREGON FOR DEPOSIT ONLY 1 536 0145 2508 CITY OF SPRINGFIELD DEVELOPMENT SERVICES DEPARTMENT SEP 07 2001/57.50/01-0006638