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HomeMy WebLinkAboutPermit Electrical 2002-6-27 LCJ.":'..JLO MO,....-t -..QOI:'-W.,..-I 1:-0 Mt!:IO '(i'.N,.....JZ .. J 5/,7S ~ :z: C'..J C):::t .. .. .....,0 ~ W fi3 illed haS 1M lollowing ~ ~ e::: ihe to\\Ow\ng proiecto~~:~~:e specitic land use a::: 01- _ and does n I- .:z:: zonIng, ~ 225 FIITH STREET approval ing L-:~ 1- 1-ELECTRlCAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 zon ~....:l. ~~ ' ' ',I, I INSPECTION REQUEST: Z>Yi 37li9 --{;ity Job Number 0;)- 0017--r-O OFFICE: 726-3759 ' ed Signature - MthOnz 3. COMPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLATION 764 Old OJ((,{AI'(,c! &t...;c.. - 5PIC''''''lhclI LEGAL DESCRIPTIO~ l ' 1'Y:A500 II O~ 2.-:; L1"3 VI JOB DESCRIPTION fIfC~WI"-C See.Jt<., 7' )'/\ 'I"...... Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractorllltj.J,o~"'( h...c h,<ll~ Address 25'/( W .>t!- ,A.s<-. City,EU?"-J'- Phone '1'6'( -1," Supervisor License Number '3'1~ RET Expiration Date /O/Ot /:<002' Constr Contr. Number Cc.(3 net bG2t' Expiration Date ':'>/!s"/o ~ Signature of Supervising Electrician Da.Jl f-L-l- Ovners Name C;;o.Nse,~ CO"H To<...!c ,<,)..] Address 76'1 0 lei O<<..(("",c' L......,~ City H fO Phone 4c']-iooo 01lNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent, Ovners Signature: --------------------------------------- DATE: . "RECEIPT II: RECEIVED BY: Nev Residential-Single or Hulti-Family per dvelling unit. Service Included: A. Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion" .....J:qui' thereof ,,,'.,':ec1 Ill' tho Orc $ 15.00 Each Hanuf' d. Ho'me, or-Joe rUl:,)f HodularDvelYi'riglO throughC Ser,;"ice ,or'F~ederin CQr)los ( , ,$ 4'0.00 ~'. ': . ~ ':-;,....,i1!". '~I~t3: th'" . Services'or--Feed'ersr;n ~Wll Installa tion;'AI terations or Relocation: ,"--,- ,B. 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. ~~~ry Services or Feeders f~~~~~"MltoS'HAt[ ~Rt~~ ffiE~Oj>{T( t i on ~V0Ha)litlsEfuUJiI:!EB THIS PERMIT $ ~6Joo ~SMrilmEU>W!S MlM-J!;IDNED Fl$R55. 00 M'irl h"tpPERRl3mps $ 80.00 ~dr ~'~mps or 1000 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res ~ $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL 4S' . 00 e:; I. is