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HomeMy WebLinkAboutPermit Electrical 2001-6-14 06/01/01 FRI 11:33 FAX 5417263689 . , . ' CITY OF SPRINGFIELD . ~002 225 FIFTH STREET SPRINGFIELD, OR 97477 The f" ' (541) 726-3753 zonin~ OWing project as submitted i, FAX (541) 726.3689 225 ,,'--< ,,, STREET appro;a~nd does no' require speCi~~ ',he fO~CAL PERIlIT Al'PLlCATION SPRINGFIELD, OREGON 97417 . and use INSPECTION REQUEST: 726_376920ning 1..1<..( I City Job Number Of-oo I.-(It.( -0 "- OFFICE: 726-3159 Date 6.-''f<-.- tll . AuJho .:? "'~LETE FEE ~u...E BELQ'\I 1. LOCATION OP INSTALLAn()'N"o Slgnalur~ "aH,j PIE/lut ,t?A4.I('pJ;<ll../ A. / LEGAL DESCRIPTION . , 707. -:SO Z. '3. D C>tOC . JOB DESCRIPTION . -rFII1/) P'owV!.. 1=07 liJUfL 29'u Peo/<Lc::J- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, N4;\i--.Res;..1pntia~-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Ea~ additional 500 sq. ft or portion thereof Ea~ Manuf'd Home or Modular Dwelling Service or Feeder ItelllS Cost Sum $ 85.00 $ 15.00 $ 40.00 2, CONTRACTOR INSTALLATION ONLY B. Services or Feeders /l' , Installation, Alterations Electrical Contractor (/0/)1-101 E/t.ldRX (Q.JjtJ(. or Relocation: Address /'5,/6 () Sw /'J411171CQ,V tJ4y , Ci ty ~" Urk t17.. Pho&J t4"...zZ02. 0'iINER INSTALLATION The installation is being made on property I o"n vhich i~ not intended for sale, lease or rent. Owners Signature: ( ) DATE: CbNc( RECEIPT I: RECEIVED BY: f\,-;!" .'l! r::;;'6-~ 200 amps or less Z. 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 /M- $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less ,201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circui ts $ 40.00 $ 55.00 $ 80.00 see "BII above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Ligbtin~ Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL S 35,00 $ 2.00 not included) $ 40.00 $ 40.00 S 20,00 D $ 36.00 -; -; ~~ ;;ODD / __ rn-iZ f Clo C') rn U) -=,." ** 7 -n .. '-' .. "? -n ''''~;3 /,,/A..Jl"}. .~ I (J l-:;'~ 1-1-0 1(. -'- ~..p.. 0 ;1J:DJ--L 0 .. ZOr-..:JU1 oen. 000 0"-fT100N J--LuOJ--LN