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HomeMy WebLinkAboutPermit Electrical 2001-12-17 -I T~e. following project as submitted has the following zonIng, and does not require specific land use approval. . Zoning' . ~D~ Date ' \')-.\ l'11 0' ELECTRICAL PERMIT APPLICATION 91.{jJ]_ri~ed..Signature 1)1/. no. - J 760 0 I ..i2'r: :,W:J ~ City Job Number (')/-00 :.. 3. COMPLETE FEE SCHEDULE BELO\l 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION I 76" ~ (J / r ( CJ,c.- t.. /l<t.- -J.. LEGAL DESCRIPTION 170"<., 2J,4'~ 02(02 JOB DJ;;SCRIPTION jf",....s c.- wi fL r:: Permits are non-transferable and expire if york is not started yithin 180 days of issuance ot if york is suspended for 180 days. . A. Nev Residential-Single or Multi-Family per dvelling Service Included: 1000 sq.ft. or less Each additional '500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dvelling Service or Feeder Items uni t. Cost Sum $ 85.00 g~"- $ 15.00 (;0 .$ 40.00 ( 1-( 2. CONTRACTOR INSTALLATION ONLY .n. Services'or Feeders )' E j . Installation, Alterations Electrical Contractor _ ~ E (Qc.'+-{\~ ~r Relocation: Address ASDtl{ <;p..eoM'ecJlD.Ll.'JuJ I~d City 7'J'fOflQ Phone (M~ -~Lf9~ Supervisor License Number Lf(7t..f - 5 Expiration Date (0/' / 2.003' I C. Constr Contr. Number 1054'15 Expiration Date 3/1/0';;/ Address I ~7C{ City Pv &L-A!'(/ Phone O\INER INSTALLATION The .installation is being made on property I ovp. vhich is not intended for sale, lease or rent. T90.~Ovners Signature: , . ajlH;:'OJ : 39NlJH8 ~5~~S~~iaF3~lJi~~7~~3-~/------=-~-----~ 96i:l.OiilicE1::P.TJI'lFM I '-' 7 - , 'l-<, -/ 6 RECEIVED BY: ''j){( , - 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 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits .' Ney, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Addi tional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL Signature of Supervising Electrician ~Q [)~ Oyners Name -:.s-/~ ~Sc.(.,,",- h~L~' Cob~~c; ~c! -ttZ'f<-( 7 /..,1; I{ - 't,'1l( F $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 /t.f5 /0" Lt3I 1 . ._0.. (""b I ) /;.---