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HomeMy WebLinkAboutPermit Electrical 2001-1-11 DEVELOPMENTSERWCES9~PfcffcTMENT e 0 lowing project as submitted has the following zoning, and does not require specific land use approval. Zoning t-bt2. 225 FIFTH STREET Date 1-' I -01 SPRINGFIELD, OREGON 97477' \ INSPECTION REQUEST: 7~~~~Y6~ Signature d:>( I.A...J OFFICE: 726-3759 LOCATION OF INSTALLATION ~ f) '3 S-b L 05;pre-7 P'L LEGAL DESCRIPTION 1'70 z... I D;c../ 3. 0 gJ<:YO JOB DESCRIPTION1 I SFrL. Low Vo(-1---fr\E / Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor EASTSIOC (l.EC, Address .:)~ ~5 3 EoSC,4 6-t il'l}Jc City SP<:;f-c...O Phone 71//-- (</9'1 .'- ,-. -- '.. - ....... Supervisor License Number Y 7), 7 S 'Expiration Date )O~OI"O{ Constr Contr. Number } 17770 Expiration Date )O,O<{-O( Signature of Supervising Electrician D/~'~A ~ . . I'-VY') Owners Name '"'blA. \c.c-s, f.;)u k~ ') /-- Address-yo \? 2> /" 7( 0 9- S Ci ty LlA. C.J~71 ~ Phone 'i/7 - 31 s. D I OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent: . Owners Signature: --------------------------------------- 0/ (! 0 ( DATE: RECEIPT #: RECEIVED BY: 423g ))1/(' 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 ELECTRICAL PERMIT APPLICATION C'ity Job Number Od -0 I 35'] - 0 I 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling uni t. Service Included~ Items Cost Sum 1000 sq. ft. or less i $ 85.00 gS- Each additional 500 sq. ft or portion :5 '-/) thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 ' 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 $ 40.00 $ 55.00 '$ 80.00 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) I $ 40.0fu> $ 40.0~,-I $ 20. 0O::u ~~ $ 36. ocfg rri CD 0.- +1- C") ..~.. I 0>-'" 1'"",) :D 0 -tr:!-- Z I-L -'- i:I':I- I l-i C") I-'- 0 I'I....I.-i-' 1-',0 :::ll~0 I /;~ ...:r.;,,,,,, ~",)..j:::-.. 4~1"'" f'lr-...J 0-, lTl 0 0 (,...J f--J... Of--J.cn 5. SUBTOTAL OF ABOVE 7l Stat~ Surcharge 3% Administrative Fee TOTAL