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HomeMy WebLinkAboutPermit Electrical 2002-3-6 a (;p'Z- . ~. o-2p t2"11~ 225 FIFTH ~TREET . \ 'YV'-&J: vf" . SPRINGFIELD, OREGON 97477 ; .(l.<A1 , :. '.", ' INSPECTIONRE9UEST: 7~6-3769 :-171$; . ,Ci\YJ~Mt\l!llllnt 02-00Z52-0 I OFFICE: 726-3759! "! ,;' I '___, I; ",i\\eO,neS ~oo use I . ',.". : i :; ;o\eeI3\S ~~~ FEE SCHEDULE BELOW . [ I. LOCAT'ON.QFIN~1AL~;\WtjJl\P"\0~Xoes~?\,e, " I 7S'R ,., UA'-~d.4..Ie- ior/#'r.'" - --, A. M., ential~Si r ,., - " --, - ' e9PIU'- 7.00i09 _ 0 ~- amil)' dwelling unit. LEGAL DESCRIPTION ~- " e .' uded: /703 Z '23/ tJ UP . \Ufe Items Cost , . eO S,goe ~I.l\notll. JOB DESCRlPTION f.:) 1000 sq,ft. or less {2..0c?..A--h":""" .B'i,k,r;/~ Each additional 500 , Vo;;OW rUle;'V:vregO sq. ft or portion Permits arc non-transferabl,e/a!,dC'eXpu.c; C actoPtect fllaw re thereof if work is not 'started WitQ.iD.9~a13<.>, enter. 7n by the oqY!aar wrnufd Home or / of Issuance or if work is su~~n?tq,loln 007-0070 OSe rUle r~wdj;(~lIing I 180 days. nailing th ay Obta' throUgh OS ~~t {{{l4Jeeder . ,/In/ber fn e Cente In COPie ~R 95: fOrth , 2. CONTRACTOR INSTALLA:r-~O'iJ~%: (NOtdhh~(1~"rp,f~aers , , . I .nter;s 7, '!JonUtit ete/elfflr:.fi~tbyt, Allerations or Electrical Contractor 800'33<.>,/ty NOtilnfRl?li'tion: j , " 2344. at/On . ( ! /'o 'I. / \ / . 200 amps or less . ' r: r 201 amps to 400 amps Citv . I Phone 1.// 401 amps to.,600 amps \ ~,/ '601 amps t6 1000 amps SupefVlsor License Nu , Over 1000 amps/I'olls . I 0 . .' M Reconnect nIy Expiration Date /' . 'Or,,,, ' / / ' H4s' ~: C. Temporaf)' Services or Feeders '- Constr Con(( Number I/U'1',?, ~RIJ1,'r Inst:lIlation, Alleration or Relocation '- ' -- -----goit. URllt, Sltl/ . ~'E".pira(ion Date 4t'}> 1Wf.'Nc: Ol/ifu !L f-r,o 200 amps or less .' ..' '80 1:00.' 'I:;~li ~R.f IF 20 I amps to 400 amps SIgnature of,~uper\'lSllIg Elec{;>,~t, 'R IS I/O HIS PElT. -l/fttfJb:f.OJ to 600 amps ' '-"" l?IOo '1NOn :4flr9~t!tUi9kamps 01:10~O volts see , ",- . vNfO Fi/%'IVrJj\ ~~~- \ D. Branch Circuits ). ',.., I Ncw'Alteration or Extension Per Panel (' 'l \ I I ." ) Onie Circuit \ ' I " -' ELACAL PEIlivnT APPLICA TI~~ \ " Address : i Owners Name a r, <" ~;: d w1 A:iL L~'-M' I Cil\' ~e Phone S;t.jlf- /6 ? ~ Address 420 Each Additional Circuit or with Service or Feeder Pennit OWNER INSTALLATION The installation is being made on property I o\vn which is not intended for s.11e, lease or rent. ' !', \ E. Misccllaneous (Service/feeder not included) , -Each installation \' . '. " ': Pump or irrigation Sign/Outline lighting Limited EuergylRes Limited Energy/Comm ~L:n2:r~~ , , Sum $106.00 $ 19,00 $ 50,00 " $63.00~ $ 75,00 $125.00 $163,00 $375,00 $ 50,00 $50.00 $69,00 $100.00 I $43.00 Lf3 $ 3,00 ~ $50.00 $50,00 $25,00 $45.00 l\linimum Electric Permit Inspection Fec is 545.00 + Surcharges , \ --- {I~ 4. SUBTOTAL OF ABOVE 7% State Surcharge 80/0 Administrative Fcc TOTAL 3/'0 ,Sou -/ 7 S- S -