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HomeMy WebLinkAboutPermit Electrical 2001-10-23 , , 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST.: 726-3769 OFFICE: 726-3759 \S)<b f\~O\ \\)..LJJ ~ 1. \.tSLOCATI~ q~ ~TAL~~ON oC'l \IJ\ ~.n\(\I\~~ t'::J.. LEGAL DESCRIPTION \'\ r\";t. ~'t:2 - ~~~ '\ J.oH DE~~N \ ~(\I' (' ~~ - ------- Permits are non-transfera e and expire if work is not started within 180 days of issuance or if work is suspended for 18.0 days. .~ I I 2. CONTRACTOR INSTALLATION ONLY .B. Electrical Contractor ~~ ~ Address /t:?rZ- ~,~ n - . Ci ty f!'~ Phone 7.;2 Y - /~oo P' Supervisor License Number ~~~-~ Expiration Date /l/ 0/ Constr Contr. Number b ?-/S7 i5J';~. -Expiration Date ~/ /.s;"o'f Signature of Supervisin~ Electrician _', r._~ _~ .owners Name.MP r\. ~.1'C\ ~~ ~Address~ ~~\'\:HD".--;-'" ~ City ~ Phone.\&~.'l.b"Co OIINER INSTALLATION i . . " ! The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: DATE: RECEIPT *: RECEIVED BY: ELECTRICAL PERMIT APPLICATION City Job Number M. D \\1010 .D ( 3. C.oMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per'dwelling unit. Service Included: Items Cost Su 10.00 sQ.ft. or less. $ 85..0.0 Each additional 5.00 SQ. ft or portion thereof $ 15.0.0 Each Manuf'd Home. or Modular. 'Dwelling .s.D Service or Feeder ..&... $ W..oO WI> Services or Feeders Installation, Alterations or Relocation: 2.00 amps or less 2.01 amps to 4.00 amps 401 amps to. 60.0 amps 601 amps to 100.0 amps Over 10.00 amps/volts Reconnec t . Only $ 50.00 $ 60.00 $100.00 $130.00 $3.00.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' .01: less 201 amps to 400 amps Over ~01 to 600 amps Over 600 amps or 1000 volts $ 40..00 $ 55..00 $ 80.00 see "B" above D. Branch Circuits .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Servic~ or Feeder Permi t l $ 35..00 _ $ ~'>S'.tJO E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm no t include! 5. ~BTOTAL OF ABOVE 7 . State Surcharge ~ Administrative Fee T.oTAL $ $ $ $ J nOpO '.;a l\~ 40.00 4.0..0.0 20..00 36.0.0