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HomeMy WebLinkAboutPermit Electrical 2003-1-28 -,. " CUY OF s1' "NGFIELD,'OREGON .,,- ',,':'.' l. . ... J '. ect as submitted has the following not require specific land use 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: l'5'4'f\"Y2k-3689 L!:>,e., ELECTRICAL PERMIT APPliCATION Zoning /,;; Date 1- 2'6 '03 ~.ity (:~~~;~N~; ;;::~~~~Olf Date 3. ~~~P~:EFEEiE.~~Ld&J;!~}JiOl~J~~'~1 ~II /'J(rl (l. (' hrur rl LD...~ LEGAL DESCRIPTION 17032.3'13 JOB DESCRIPTION o 8"l.{OC:> ~:lLJ pr<,> W~V'e I Permits are non-transferable and expire ir"work is not started within 180 days of issuance or if work is Suspended for 180 days. r'~ .~. -.:---- -.-'- ...~_~_~~t.__'_' "_4 r -" 2. ...5!lNTRACT.9.R 1NfT{lLI,ATlpiV,oIYL:...c Electrical Contractor DIVERSIFIED ELECTRONICS Address r. (). ~" Lf D91 'K City '17,-/u'/ ~e..NL. .J Phone "'~'-f- g07/( Supervisor License Number ~ c.r; p Expiration Date I a / I / () '<. ~onstr. Contr. Number I 'i 4 &, 3'5 Expiration Date Co I ') I to :'"f~;7:l1~mo; " , Owners Narn.r;- ~ -t-tA (C ~ / Address \~ 0 X 7Jf'Z -S- City f:::u.G-&V~' OWNER INSTALLATION '~ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. ; New Residential - SiI;gle or Multi-Family per dwelling ..nit; , , ..' ----"- - Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 r- ~ _-0 -"-J-~ n_" '--, . .~, .-. -- ~_'- - _.. - ~ ,.-- ~ - '-~.."--~ 1 B. :," Scn:iccs or Fcedel~s - IHstallaliOli~ AIi'cJ";ltiollS 01: Relocation:',' 1 '----:...<.:..~. ~ ' '.M ._ _ ..~ 200 Amps or less $ 63.00 201 Amps to 400 Amps ,0 $ 75.00 401 Amps to 600 Amps ....0"> .,\'~ ._ $125.00 ~, 'V~. ~" 60IAmpstoI000A~0~ 0,\0';0'" $163.00 . Over 1000 AmI'~IO\0~ ~0C;; ~'l}l ,. 'O~ $375.00 Reconnect r;&i? >i$'0 ~0",'l>...<?-q,-,,~<i()~ D $ 50.00 \0($ ....'O~ 0\~ or......0. 0". ~ r-- .f.';i.~'<>" ~ ~ ~=.:~~o - ----" . '. '., I c. v~)dt~r~~c.i;S'icff#?l"~~Js.~ .' : . .' . "" ^<.:,,~' ~0'" 0~'crr::.'\): CO~\.0~\~.~ ~. 'i" 'o~~~ft/W~o'S~fi~r~~t"~n \~~'t-O'O'~1i\~lt~(\'~~0~O~<;)~'?l1.: ~o ~~~ ~~~~~...'~\S \~~~~&~ ~ps $100.00 ~rve~~t~~0~.~00 V?ltss~e."B~2~ve.. D. Brandi Circuits ,'.,' " : . - - - - <- New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with 'f Service or Feeder Permit &. ':'\~~6~0 . E. Ir l'II~cei;;;;o'lIs (ser-;'ice/fe;d.~;I';~~~~\id~Ea~h\,~siailati~1l j " . . '"l>\~'\:.~~''' ..' ~\, v:\\S~ ~\S\) Pump or i~a.tion s'(-.'?' \\ \" ,''0\)\~ $ 50.00 Signl~lt,Xe'Lill.n'ir..g'0~\)S S 'r-~'r-" $ 50.00 Lim~d'Eng.':;-~~lden',!" ",(\\). r/... $ 25.00 :15.= '\,,'- ""\.- x.v'l.w'\\\V Limited.ED'e~/Cohunerc?S. $ 45.00 F ~\-l\V \)1'" Minimum EleCigi:.~e~o<;'lt Inspection Fee ~ Surcharges ["'-'--- \>-I"~_T'" . .'- .:~ I L(')' 4.[ SUBTOTALOFABOVE ." , '. ...1 :lL?S.(l(--, 7% State Surcharge ~ .:? &.. 10% Administrative Fee 'i 5"b 5.., (,,$ TOTAL e- $ 50.00 $ 69.00 Shared Drive(T:)IBuilding Forms/ElectricaJ Pennit Application 1~3.doc