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HomeMy WebLinkAboutPermit Electrical 2003-6-2 'lJ.? \0' bY::- ~,c 225FIFTH STREET _.. ,/y:.~ EL.CAL PEP-l'"nT APPLICATION .,'. , SPRlNGFIELD, OREGON 9747Z~;~";\ :"\.9' " .. 'I'\.d::~"':l. INSPECTION REQUEST: 7f.61:\6~' , I,"'" ,,-"ll "PlY Joh ~umhcr~'OO ~ , . OFFICE: 726.3759 '"",""',.,';. ':;)fvy, ..., :.,'. ' . " , "..' :,'~ .,~""r:.,;i i;, (:;';~ 3..,COMP~ETE FEE SCHED,llLE BELOW "F' L LQ<;-1:fIQN OF ~ST;\LI-{\TION. ~ I.~" ,; :.:' , ' ',",' ~A..\p ~\)ex-(\Q("\~"'A.>New'Rcsidcntial~Singlcor ' Multi-Family per dwelling unit. SCITice IncIudcd: .. . LEGAL DESCRIPTION DC'.. \~O'1..D~_:l"+, _. l'. \CO Hems Cost Sum' ';', $106,00 $ 19.00 ~ $ 50.00 \roo c:c) ; ~ $ 63.,00 ~ $ J5,00 _$125.00 .. ' ., $163:00 - $375.00 $ 50.00 ,. ': :, .,....:. ,,' i _ ~ (I ~ ".f. " ' : '-, ", ~ ....-,." , " ~ $50.00 $69.00 .---..:. $100.00 \ ." .\ .:'j . , .'.~""'~ . ' j..) ., I . U/. . D. Ownc..~ Noa~~' ,~'~ ~'m1.~, Address \4A <h ~ X- ~\-reet . Cit~N:.t ~\d;honc r\\ C\q~ OWNER INSTALLATION. . The installation is being made on property 1 0\\'11 which is not intended for sale, lease or rent. Branch Circuits New Alteration or Extension Per PanCl '. ,~ ';.'.- . One Circuit $43.00 Each Additional Circuit or with Service OC> or Feeder Permit -L $ 3,00 ~ Owners Signature: E. Miscellaneous (Scl'viee/fecder not included) .Each installation Pump 'or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energv/Conun $50.00 $50.00 $25.00 $~5,OO l\linimulll Electric Permit Insjlection Fce b: S..J5.00 + Sllrchnl"~cs TOTAL \D~ ,CO '14l \D.?,D _\'l.D~\ 4. SUBTOTAL OF ABOVE 70/0 State Surcharge 8% Administl'atirc Fcc