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HomeMy WebLinkAboutPermit Electrical 2001-5-7 (2) .It.NGFIELD The following project as submitted nas the toHoVJi'lf.. zoning, and does not require specific land use- ~ approval. Zoning 225 FIFTH STREET SPRINGFIELD, OREGdR't"),',:,:, INSPECTION REQUES'lA;,tho7,~~r\iJlure OFFICE: 726-3759 .I..J:~.u? &) --} - G.,( ~U\ 1. LOCATION OF INSTAIN\TIgli" Z/b{ Dl4r;-k~UL~ LEGAL DESCRIPTION 170'3 Zh{ I 01500 .... JOjI DESCRIPTION tfz.JT TlA 6 c, (2.<...'^- r-r- Fermi ts are. non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. Electrical Contractor t('roDd"(1 f-Iec;t; Address RO,(JO)( 10&7 CityspP'/d/lJr Phone 7:lIP-I/303 Supervisnr License Number (}.(p 7/ 3 /olo//cJ/ Constr Contr. Number :;;6-/7:1. ~ /Dlollor/J Expiration Date Expiration Date SignatuJ;1';?f~erVising Electrician ~--"~ /Ilf .--......... Ovne;~ Name' I") i-6lZ-.~ Address Z/h/ 'Oc 10(,4 I\'~ ~ Ci ty sf' "cLl Phone 717 - 0 c;/5 ( OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: /") 0::;-0 70/ RECEtPT II: L," J g-r RECEIVED BY: 0-.rf' ELECTRICAL PERMIT APPLICATION City Job Number CJ/-aOlfAlj-o/ 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling uni t. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular .Dvelling .' Service or Feeder .$ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see nB" above D. Branch Circuits .' Nev, Alteration or Extension Per Panel One Circuit Each Addit ional Circuit or with Service or Feeder Permit $ 35.00 :3 (" $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40:r90 $ 403;lQ,,;ri $ 20::6l~ ~ $ 36:;glCJ:1 ~ ("") t:::l:z .. ~ roo DC) ~) l'..J-<t-;"' HO@C)O l"'!l"""" _."'\'-" ;;QDGJ 0 .. r.r:n....t::.:l.L.1'1 2S ~ ~~~ ........... c::;tt--'--.:] SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL