HomeMy WebLinkAboutPermit Building 2002-5-3
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, I ELECTRlC~RlvnT APPLICATION
.' : 'I: : 'CitvJ-llfJ Number tJ2---cJtJJ'l y...o1ANBif:Ol-0008845
. I " \0\\0 0 iJATE:f1AY 03 2002
:.. ,'I _ 3, ~~tEFEESCHEDULEBELOW AMT, RECD:
I. LOCAT!ONOF INpT#~ATION' I ,i.,~0 0<-\\\<' /' CHANGE:
c,tfu'/' I?~~~"'''~-i,*,'''~ew /'<kn~Singleor -. P 'M CA8HIER:032
-, <1'0\:3-,,0\ '0~'" dlti-F' i1v per dwelling unit.
.~~ # .
LEGAL DESCRIPTION \ ",0"" 660 IV ' Se,' e Included:
Ig-O 2-/) ~M - MI1'~~ . "J/6~)
1.0' o-J.... :(\\,. c......
fl" 1,0 :.J.
~~\D&~~rNh 0 !L
1\' .. ,1.0
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Permits are non-transferable an expire"
if work is not staned within 180 days
of issuance or if work is suspended for'
180 days,
.
225 FIFfH STREET"
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
2, CONTRACTOR INSTALLATION ONLY
Items Cost
Sum
1000 sq,ft, or less
Each additional 500
sq, ft or ponion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
L $106,00 /rJf.~P
2- $ 19.00 ~t1 .38.lJ
$ 50,00
,
Electrical' Contractor -.Cl>ri '" tpuson Electric, Inc.
/"\,
B. SCI"viccs or Feeders
Installation, Alterations or
Relocation:
Address...J,2QR Rpthpl nrivp
/
Phone (~41) hRR-h121
\ /
. \ ~
Supervisor License Number 271 QSl)
City Fl1g,:)no
,
Expiration,Dale 10101103
,
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c.'Constr Contr, Number
26-34C
, E~piration Date 10 /ol/m-..
'---.~
Signature o(.Supen"ising Electrician
'X
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Owners Na e
Address ~&
Cit),~6j_
;?)
PhoneB1S'~
OWNER INSTALLATION
The installation is being made on
'propcny I O\vn which is not intended
for sale, lease or rent.
Owners Signature:
C C./? T1 If sf?'
fy. P. S-I-()3
'"
200 amps or less
20 I amps to 400 amps
. 40 I amps to,600 amps
, 601 amps t6 1000 amps
Over 1000 amps/volts
,
Reconnect Only
$ 63,00
$ 75,00
$125,00
$163.00
$375,00
$ 50.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
---~.
200 amps or less
20 I amps to 400 amps
.--. - _Over 40 I to 600 amps
Ovel-'600 amps,or 1000 volts see
nB" above -. '''''-,
"
I',
,
-L $50.00 !5D,ciJ
$69,00
$100,00
\
D, Branch Circuits
New Alter~tion or Extension Pe/Panel
if, ,
, , I
"d !
On'e' Circuit
$43,00
,"
, '
Each Additional Circuit or with Service
or Feeder Pemlit ' $ 3,00
\
E, Miscellaneous (Service/feeder not included)
, :Each installatioh' . \
" Pump "or1i"rr{gation ~ $50.00
Sign/Outline Lighting $50.00
Limited EnergylRes $25,00
, Limited Energy/Comm $45,00
::i:i:;:OE:::,~:::~t::speetion Fe\~rE +;:~
7% State Surcharge 1'2>.58 ii'7j
8% Administrati\'e Fee 1'5.5 ~ . /1If4t2J
TOTAL /ftf3,7S