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HomeMy WebLinkAboutPermit Electrical 2001-12-20 ; '\ , ,~. I I i , , .. ! The. fOllowing project as submitted has the tOllowing zOOlng. and does not require specific land use approvaL ' Zoning LDI2 2.2.5 FIITH STREET Datel:l ( :.)0 ( 01 ' ,ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 'J.:?'b,l~ze.o ~gnalure 'D\( 0 D1W INSPECTION REQUEST,: 72.6-3769 -- ,-' J Ci ty Job Number Of - 0 I 0 '-( S ,C) ( OFFICE: 726-3759. 1. LOCATION OF INSTALLATION ItJ b'-{ OA-tvV\e-A.dO""s, , A. LEGAL DESCRIPTION '703.3 Lf 2.. Z DObie) JOB DESCRIPTION J4I! H fA I flr Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2.. CONTRACTOR INSTALLATION ONLY .B. Electrical Contractor ?.k,,-I-'J ~ Address /t? ~Z- ~ ,j; n_ City f!~ Phone 7,:l9-/~oO ; Supervisor License Number <115-5 Expiration Date /l/ o{ Constr Contr. Number b ?"/'3>7 /St;~. ulJ(./o <f I I . Signature of Supervisin~ Electrician '.'.;':~,~ ovners-'Nam~ -!-fLc-d I-ki~/~ - D. '"Address ~t../z...t-, 7:'0<> 'C.. o/,~__ 0t2.... City t:;:u.&E.iV~ Phone '-If'f- ,/{)7L Expiration Date OlINER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease'or rent. Ovners Signature: DATE: RECEIPT 11: RECEIVED BY: 3. COMPLETE FEE SCHEDULE BELO\1 Nev Residential-Single or Multi-Family per'dvelling unit. Service Included: Items Cost 1000 sQ. ft. or less, Each additional 500 SQ. ft or portion thereof Each Manuf'd Home, or Modular. 'Dwelling " Service or Feeder L- Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect'Only Su $ 85.00 $ 15.00 50 D $ }<5.00 ~ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over ~01 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above Nev, Alteration or Extension Per Panel .' One Circuit Each Additional Circuit or vith service, or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SYBTOTAL OF ABOVE 7~ State Surcharge 3% Administrative Fee TOTAL $ 35.00 :5 " $/00 '2- no t inc1udec $ $ $ $ /03> 40,00 40.00 2.0.00 36.00 ~