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HomeMy WebLinkAboutPermit Electrical 2002-11-1 . ~;'('.'3-~c\'3-"/ \~e. '0\-\\\ 225 FIFTH STREET _ .' <.~.,<",~; ,. ~L~CALPERlvnT APPLICATION SPRINGFIELD. OREGO~477 . O\e('I~~IA.'h .- /. /WR ....... INSPECTION ~QUJ?ST: 726-1~~~00"~.) J.Y to' ,/-"'City_Joh Numher L{)Tf,'2IJ()2 . (1/2SS ORFICE: 726-;759 'o~o ",,,.I"" ~l '..: /' ../ 1. LOCATIO~l.!N~~~1~~'''~ . ....,70MJ>LETEFEE~CHEDULEBELOW '!:Ab~ wn-<;;n -IJ1~) . -' :;;,,,,~;.,,~_. A. . New Residential'Singleor 'i)",\0 ' .~00 ""~ Multi-Family per dwelling unit. LEGAL DESCRIPTION 1&>~o~ Service Included: I ~0203aJ OOqll.'1 Items Cost SUI11 1000 sq.ft. or less -.L $106.00 -1f2ro.OCJ Each additional 500 ?~ sq. ft or portion ~ \r i~'1'JO:T '.1 c.OO mI' ~~\.\. ~~?\~ \It.~~.\)0 v 0, ~\la 1 ~hl~\)t'i\i~~\)O~t.\) fO? ~ f~'\!8~? \$ to; . . , $ 50.00 . CO\ll\'A't.\'l r\~'f ?'t.?\OQ. - B. Sel'\'lc'i"Wl:~M's' . ,. Installation, Alterations or. . Electrical'.Contractor MT~TI'N~f)N...ELECTRIC, INC. Relocation: '.' " .~ ." ., '.j., ....~..;:.{-\.., ~,,' L". Addressl29E' 'RJCm'ff ' nllT1/H' ,.,.' 200 amps or less.. / . . " 201 amps to 409 amps City Fnr.='" ~ Phone (';41). hRR-'hl21.' .. 40 I amps t0600'amps " " '. ,",' . ....:601 amps to 1000amps Supervisor License Number 7.71 Q~ . 'O;'er 1000 ampslvollJi . . .Reconnect QnlY' . E~piration"Daie m/()1 If), ,. . ,"" ":', '.', ,;.. . '200 amps or less .--.:~~:~~." ,... 20 I amps to 400amps' '. .' '-' '" ~<~a;.:"r10i to 60'0 amps' . Over 600'amps.or 1000 volts sec.. . liB 11 tlbove . ~ ~ . .\ .." :tb ~SCRJPTION 01'l'H. QJ/(I~ / Permits are non-transferable and expire if work is not started within 180 days of issuance or. if work is suspended for 180 days. /8'l.O '. . , 2. CONTRACTOR INST ALLA TION ONLY ..' , :~ '. .. , " '''(Oonstr.Contr: Nunlber" 7h;'14r: -,'o '. .~~.~: "'. '" -".. " ~.... :....,... '.Expiration Date 1 ()/011i)'<~.:. . '. .' . , ~ ,', .., > Sign'~iturcof Supervising Electrician . . :':,' '~~ .' .:,': ...'''''',:<;:: ....,..:......N~~~S . O\V.;ersNa~c~.Ir O:i'l':~~ Addrcs~~: ~ .~~~ . Cit~' Phone'tri.~8.rftOl OWNER INSTALLATION The installation is being made on.. property I own which is not intended' fonale, lease or rent. " Owncl"s:Signatul"c: $'63.00 $ 75.00 $125.00 $16~.00 .$375.00 $.50.00 . r . '. ,~ 'C: 'Temporary shi-Vices.or Feeders . , ' .."- '. InstallatioD, Altel'Ution or Relocation . , \", ' -.","- ',( _ $50.00 _ ~ $69.00 ~ $100.00.___:: : , ~., .:"1 D, Branch Circuits New. Alteration orExtension Per Panel, ,.' ,... . .. ., One Circuit ....\j ,I. $43.00 , , ,.\. . Each Additional Circuit or with Se~ice , '.f' . \-' or Feeder Permit . , . . .," 'C' $ 3.00 . .' ',:. '- .: - ,\.', .~.,\ ~-)."" ~~"t - E. Miscellaneous.(SerYicc/feeder not'include;i) ..... "," ., - . _,' .., _ J- ~, _\ .\\\-Eas:h"instollation.'';'-'''~ "QI\O:c.~\Pll!Jlp';or {rrigaiion,' , \o'i:'~ " SignlOmlil)e Lighting ~ ." '-'~ -. -" . . ,\0' LlIl1ltecj..En~rgylRes \ tiS<.\I Jc,iplite(!tEnergy/Conilll C' ,'0'" ., ,'" \ i\linimlim 'Electric Permit Inspection Fce is S45.f}O + SUl'chlll-gcs $50.00 $50.00 525.00 $45.00 4. SUBTOTAL OF ABOVE 70/0 State Surcharge 8% Administrative Fcc 144 .cO l~ 11.s2- \It"l"S.lQO TOTAL