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HomeMy WebLinkAboutPermit Electrical 2001-12-17 ~"'v\!:1J ~- . r.loWing project as submittad has the following .. 225 FIFTH STREET; zoning,and does'not;require'specifi9Iand use ELE~CAL PERMIT APPLICATION SPRINGFIELD,OREGON'9'1lf'1l;t. .~ ' .DIe., . .' ' INSPECTION REQUEST: 726,3Zblling' tYl.., ':''':- L,I, Number Of-Of 7 3. ~ -0 I OFFICE: 726-3759 Date' . \:;l .: Ili .0 \:. . _ '. I, Ir\V ,01.. i, Aye1MPLETE FEE SCHEDULE BELOW 1. LOCATION OF INs't';ft~~ ~ature!'[1 · . ~ "Picw"lJ ~' ,- - - . . New Residential-Single or' .. Multi-Famil)' per dwelling unit. Service Included: LEGAL DESCRIPTION )1'03. 3S""3 z.. 03100 Items Cost Sum 1000 sq. ft. or less - $106.00 Each additional 500 sq. ft or portion thereof $ 19.00 Each ManuI'd Home or , , Modular Dwelling Service or Feeder $ 50.00 '., JOB DESCRIPTION . . IAtL '-)ow,.; Li~hk. (3Y ~l'~~ ,....fJopE) Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. , 2. CONTRACTOR INST ALLA TION ONLY Electrical'Contracto~~' Address ~(OJ5'1 1fem-->> ~I~ // '\. Cit)" c.nClJ: Phone / ~ \ ./ Supervisor Licens,e Number tll? IS I ,j Expiration Date .r B. Sc).viccs or Feeders Installation, Alterations or Relocation: ! .... I 200 amps or less 20 I amps to 400 amps 40 I amps to..600 amps , 60 I amps to 1000 amps Over loqo amps/volls Reconnect Only $ 63.00' $ 75.00 $125.00 $163_00 $375.00 $ 50.00 ---'Constr Contr. Number Il) -()/-<Jt1 ?O-<-Il.\~ C. Temporal")' Scn'ices or Feeders Installation, Alterntion or Relocation "~.Expiration Date ....."10 ~Ol. -0 ~ ""--.' Signatll'rc of ~uJlcn'ising Electrician ~LOlwt)"f)~ Qwners Name fllf:iJc...o :r.dl::S+M~ E. ?>roAd~A, SfJ I Phone b'63 - ')001 -,..----~ 200 amps or less 201 amps to 400 amps "--Ov~ 401 to 600 amps Over 000 amps or 1000 volts see. "B" above .~-- /\ I . , , Branch Circuits , New Alteration or Extension Per Panel ,,1/ \ ' , . On~;Circuit $50.00 $69.00 $100.00 Address uLl 0 . \ to , --I- $43.00 ~ Cil)' CIA &- Each Additional Circuit or with Service or Feeder Permit $ 3_00 OWNER INSTALLATION The installation is being made on propert)' I o\vn which is not intended for sale, lease or rent. Owners Signature: E. Mis.ccllaneous (Service/feeder not included) -Each installation ) Pump 'orirngation . $50.00 Sign/Outline Lighting $50.00 Limited Energy/Res $25.00 . Limited Energy/Comm _ $45.00_ Minim~m Electric p~rmillnSJlection Fcc ~ + Sl,II'c1;",'ges . I 4. SUBTOTAL OF ABOVE 7% State Surcharge. 8% Administrative Fcc T'iO' :G1H~:J~~ : ~C]N\:iS~) SL'tS $.l:G:J3~ lW~ 1002 flO MN: 31\10 60Gl.OOO~10;#SN~~1 TOTAL 5/~ 7207