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HomeMy WebLinkAboutPermit Electrical 2004-11-7 ,~(t~';: 1"C~:;~ crIfbF '8/ MGFIELD'; OREGbN' ':/1 ..'\~ ;:~ .. f.HII ::'.'" ,~, "'I' L " " l, . ,'.. '--..J': ":. SPRINQPIELD ~ :::.......:::' . ,l ~^fv--.~/~j! 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAXt~~1~~J.~~i~ ;~..:~ ELECTRICAL PERMIT APPliCATION ;', /!ElIClI....IlP"'-Il..'~_"-J City Job Number C)2 -000 7::S - 0 Date /lr'l' CJV ~ I L~ r-T'- ~ .~..~. ".' 'Y' . ~':-"'.'.. .--- "~""i' - -"'--' -...., '-. ,-,- ..,--. _......--. -, '. --. -.... ,,' - ---~. "-.- -. -.... 1. 'LOCATION OFINSTAT~L4.~ . 3. ~r"'T 'EE-$.cHEDlfLE BELOW I Lk/~e---:;;;;;6J ~S6*!(}~~::~~~-,.-,,:;:~S;:;~~':- ,--'- _._u __'H' LEGAL DESCRIPTION \.. A. : ,Ne'. sldential.,. Single or Multi-Family perdwelling unit. 1703>;;2'3>' / 07602.... Serv:~In;I:;~~":---------- .J__._ ......--- JOB DESCRIPTION /,/ /..eiC /-ri. v':>L.- iJZ~1 4 ~ fl......., 1000 sq. It or less Each additional 500 sq, ft, or portion thereof \ $106.00 r~,OO $ 19.00 . Permits are non-transferable and expire if work is Each Manufact'd Home or . not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder r-- -------.-----;------------- --;----, r.. . -.----- .,.-.--- ---.-.- ~.~~.- --- 2. i CONTRACTOR INSTALLATION ?NLrJ B. :.S,ervices or' Feeders :-:Install~~n, Alterations or ~~~:tio~~ / .--/ c:7c--c.'ZOC: Electrical Contractor ~ 171/ {. C' q 200 Amps or less $ 63,00 2~m~~n law reaulre9 YOU~c,5.00 Address /!!) . / t '3 7 4~WNRl%_ll!d by the Oregon uti$~. fiOO I ~trtiml!9l (!)OOi~p1hose rules a~e ..s~l mf:OO City , )j.:v(1r>7f2-. JJ. Phone ?+ 7 r-; {, / 9YGAppg~~O through ~~n ",...2 ~iZ}OO } . 1lre9l!1!~(il\lhay obtain copies u,,"'" ,:-IE'$'s6Yoo .2. { 7 (5 ~lling-thecen~~JN. o;~~;~,~;~~~;;i~n--- - --J Supervisor License Number /, ~ c. LbWl.!l?!l'6:~:=~%44)" ___..__ ....:..__ Expiration Date / ~ / 0 r't? <<l? Installation, AJteration or Relocation. Constr. Contr. Number , roo" ) ,/ 2 D -172 c: 1~//tJ..r $50,00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69,00 $100.00 Expiration Date Over 600 Amps or 1000 Volts see "B" above. ,-:._~.._...._.. __ .,_.........-,_.___. __... ,_ ___" _._e. '_'_ __ .__...,-. --._ _~___._ D.l B~~hCir~u.!.~:,_. .. __ __ . _ __.__ New AJteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 43.00 ';"'_Of"_~ (Af-;(( AtML-k $ 3.00 OwnersNarne j"Yf'-(CCN-ciC Address :v 0 ;:Jo)<' "3 r---~ --'---~---- --, E. . Miscellaneous (Service/feeder not included) -Each Installation . - -~- .- -- - - - ----- - - - ~ . City ;;:'?r-~ Phone Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INST ALLA nON Limited EnergylResidential $ 25.00 The installation is being made on proll.e!:.lY I own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease cM@tit! lj E: Mi!liIJ\lllD. EIe.~l.ctc;.,l'.ermit Inspection Fee is $45.00 + Surcharges THIS PERMIT SHALL EXPIRt;-.1.t Lti!:.-.\'Vlltil\.,... ,,- .... -------~ Owners Signature: AUTHORIZED UNDER THI~4.~ESliB"'UlIW!TOF ABOVE, \ 10>6.00 COMMENCED OR IS ABANDONEIJ tun -.. -- -- - - -- ;.,;;': ~ 3~ '::!'X ~ERIOD. 7% State Surcharge "7 Ac'L. .~ ~ 10% Administrative Fee K 0,. W Inspection Request: 726-3769 '~ 0' TOTAL . t "2.4L'"'l- ~jJ~hared Drive(T:)lBuilding FonnslEto:tric.1 Permit Applic.tion I-OJ.doc