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HomeMy WebLinkAboutPermit Electrical 2002-8-26 d!fr/ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ELE,- jCAL PERMIT APPLICATION 0'1 C'/' (I' "' (L /' I City Job NumbcJ d'" "'-....J ,,::;r-- F ~ 3. CO:t'v1PLETE FEE SCHEDULE BELOW 1 ./LOC~Ir.N FlkN T. AL[mTION _- _~._~ C-:_ ,.."'"\ <::::.J) dJ V LEGAL DESCRIPTION 0 ;:> ('~ / (' (l d- Od--., Q L/ ctJ,-~ C .-J A. Ncw Rcsidential-Single or Multi-Family per dwelling unit. Servicc Includcd: Items Cost Sm:n .-ff)lfDES~TIO~ ~ing project as submitted has li;-OO.iilJlRu}illftlgor less ~rYI, {) 7~ ;:~g.~\ require specificE~~ \'\m!itiona1 500 approval L:i)~ sq. ft or portion Permits are non-transferable and eXpksning. -t~~. if work is not started within 180 days 4: / ZiP '()~~achMamJfd Home or of issuance or if work is susptfitrecI lor, -. ~ ~ rv!?~~3:.rD~:~Iling 180 days, AuthOrized Slgnature~. ~~ervlCe or Feeder $106.00 $ 19.00 $ 50.00 .... 2. CONTRACTORINSTALLATIONONLY B. SeJ'vices or Fcedcrs Installation, Altcrations or Rclocation: ._"<:'.1 "'~';::""_' ..j..I..,._: :. . ~i..I:. J - . l~ ~._'), .~.... .' -~,:/ ,.' ;,.-- ~e"'~:-" :,...._~_ _ -:-...,/-,,/ )lp~ 1',,\ SuperViso~:.w~td Ntuij~e( ./. ","<.. Expira . 11 Date . , ,-\"';"-:.- City' ''',' . ..... '''' 200 amps or less $ 63.00 201 amps to 400 amps $ 75.00 401 amps to 600 amps $125.00 601 amps to 1000 amps $163.00 "~~1:90.o amps/volts $375,00 ,:;,R~~.O~~Oal1:" ,\1 i , \$..';;0,00 :{ t~~~1 t~t'~'11\/il i .~t'1f'"L.~. ~L. ~fil.lr~I\ C. Te~)~H:9!f~.~&B1c~~~~~~\~~}.~ ;~r\ \. i:', Insfalli:\tl()ny1\~ternti{JJ1 @~ ltelol}atll.~tF.\jt!J ., , Expiration Date 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see "B" above I r' oJ $50.00vU' $69.00 $100.00 Signaturc of Supervising EIcctrician " o D. Branch Circuits Owners N an&S71:::t8 ' ciA LCtm..) New Alteration or Extension Per Panel Addrcss '/ 2. 7' 7 /-1--0 U-y --S J Citi5f32-iJt.J&-Dckonc 72-~'- J 5:{5 One Circuit $43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $50.00 $50.00 $25.00 $45.00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges 60 ' QZ) :5 - 5-0 Lf~67) 4. SUBTOTAL OF ABOVE 7% Statc SUI"chargc 8% Administrative Fee TOTAL 6'7.50