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HomeMy WebLinkAboutPermit Building 2006-12-12 I I . \ . . CITY OF SPRIl"<\lFIELD, OREGON -......ZON ..LDR- ~ ~~~ALW~~~ I ~ ~ SQURCq'YYl r~l2..i ~ Date 12.. II - 6 fo 225 FIFTH STREET. SPRIi'iGFIELD. OR 97477 . PH:(54I)7l&-3753 . FAX: (541)72&-3689 ELECTRiCAL PERMIT APPLICATION City Job Number CiJrvI:;;;ODI", _f)lri../f) I, . LOCA110N OF INSTALLATION: 3. COMPLETE FEE SCHEDULE.HELOW 1.f32.. m OUV\,+;:) (Y\ 6~ t-e Service Included 1000 sq. ft. or less I $106.00 }D{o' Each additional 500 sq. ft. or I I I U ponion thereof t.a.. $ 19.00 ~ Each ManillliOililf!llbliulloiUIE::gUllldw 1(:;'4".1"':' yuu Iv Modular1eJ!!~ni11&'.S~icll:brpted by the Oregon Utility FeederNotification Center. Th.:,;:,.:; ;;;1:;) d(t9.~t fg.'" . n.aI111l;?-001 -Q.Q1Q thrqyah OAR 952-001 2. CONTRACTOR INSTALLATION ONLY B. ser~O~K~ote~iW6Ot!r.\\08b'P1~!Nlrl'r'it\lrrB~'!f~011: Electrical Coniractor f11 f t: lee + C l' C. ~ ~ 200 Amps 6ilfJ~9 the center. (Note: th~~~!~hO~e ~ - 201 AmpF/cl'4b'o~A~~the.OreIlV" ;';,;I;(y~tmcc;.:;;:;;. Address t> 0 00 X I (p 96 40 I Amps to 600 ..frrlP~ter IS 1-850-332 -2$12~.bO Al L 51./1 601 Amps to 1000 Amps S163.00 City f,)~Vl Y Phone qloT ~ 102 7 Over 1000 AmpsNolts S375.00 Reconnect Only $ 50.00 LEGAL DESCRIPTION: 110'), 34 340 ::;l4efU JOB DESCRIPTION: V\ e u.J w' Permits are non-transferable and expire If work Is not staned within 180 days of Issuance or If work Is Suspended for 180 days. Supervisor Lic.ense Number :.:J.. q p> 0 S Expiration Date ID ./-09 :JLf';l15~ to ... I - 0 9J Constr. Contr. Number Expiration Date ,~:enngEI~~. I~ ~ V Owners Name 'l11.//'fy VlAlleu BldJ:r Address -tJ. o. f1 OK 'l3.? I City~ Phone Slt[-7:JC. -D!OD OWNER INSTALLATION The installation is being made on propel1y I own which is not intended for sale, lease or rent. Owners Signature: Inspectl~n 4BltJ.q: 4~~ f\ ~5 '. 5 \ \ ~ \ 'd- ~" 00.. A. New Residential- Single or Multi-Family per dwelling unit. C. Tempor~ry Services ~r Feeders Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New ,{1'tQ.ltlbrfo'r Extension Per Panel. IF THF WORK One CifWii) PERMIT SHALL EXPIHt .$ 43 'SD <'T Each "Kdtjili"/t~!~L'l:@t\:lt,~lhq I HI~ I'ttlMlll Nu. Service q( F~eiler P.ennitOR IS An, "",,"rb3:Qil~ CuMMtNCtU u....__..L' E. J\lisq~h\llll!o?IMIl~lfJ.w~J;l not Included) -Each Installation $ 50.00 $ 69.00 $100.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges :;)0. 0 ' _I 7 , If2..i2 ff,'ffJ :2.70, (aO 4. SUBTOTAL OF ABOVE 8% Stale Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T:VBuilding FonnsJEk'Ccrical Permit Appliculion 8-06.dOl;