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HomeMy WebLinkAboutPermit Electrical 2002-3-22 225 FIFTH STREET; -.. ' SPRlNGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 , , , ELMiAL PERMIT APPLICA nON 'City Job Number o'Z.c a c::.1 Jg:~01 I n' , ,. I. LOCATIONOFINSTAl,LATION..-iot , II ~ De.l '~",' 'J~I'-'-C --' A~ 3. COMPLETE FEE SCHEDULE BELOW " , \ " LEGAL DESCRIPTION /703 Z--l{<-<L( Df',36U New Re~identi;t1-Single or Multi-Famil)' per dwelling unit. Service Included: Items Cost Sum JOB DESCRIPTION ,1000 sq.ft. or less ~,..Q. 1f<L<'-'-'....,;r~ ~ii\g ~O!:jll$ubmitted has tlHlkiltClllldilional 500 zoning. ana coes noMquire specific 1~.dftlM- portion . , b~pproval.. I? I f Permlls are non-tranSlera Ie ana eXIi!re 1-1) I~ t Iereo if work is not started within 180 da)~mmg ::z.:, ''2..'2.-- o...z Ldl..ll lVldUufd Home or of issuance or if work is suSjlllaOOM-- ~ ) '-1og'II,r Dwelling 180 days. . AUIhorlZeo S'gnatu," ~ SerVIce or Feeder $106.00 $ ]9.00 $ 50.00 2. CONTRACTOR INST ALLA TION ONLY Electrical' Contractor old.f, -e./d. S B. Senkes or Feeders Installation, Alter~tions or Relocation: 200 amps or less $ 63.00 "'. 20 I amps to 400 amps ' $75.00 ,40lampsto.600amps ._$125.00 601 amps t61000 all1Ps $163.00 't,~~&Over 1090ampslv~l!s $375.00 a'~ ReconnectOnlYl $ 50.00 ; ',:.iy:0~;,;~,__:,~-,'~)t-:" >-':-:~ ._:+:~;-':_,~tL:' ~~\~ff:~,_'{':'>,>::' - -'."if- - ::::::;;f:--;::t~\,: -Y:' - . ,.;H",.;;':~~~~IPOn~"y Services.orreeders.......; .,..i:'.......,t!'":t. . ,.'..~...~'.~staIlatlOn, ",:lteratIon,or RelocatIOn' ""l~',,:t! ': . Expiration ~:te'" Nc,iS~q --c.$~2i ".':fu.~'I.. \'i;og~m~~>~r;le~s~.~~~€.~J.;."::;'r:~~10~~6 _ -JiQ.:^,,'i." .. 201amps.....t.040~.~lJ!PS.g>....~.r;;$0..~.>..~..6. 9.0..0.. _ . Signature of~upervising Electrician ~ $'" ~'--Ov~E401,.to 6W'i&~t51.~ ~':~', $JOO:20-'-- '~'24' '~'" ','." .". r7; R $ a Over600an'Pt5,'~~~":"":~x.',~..,..'.' "', I:A- t;:::..", 0 ~. tlB" nbove ~ m ~ ~r""'''';'-~o!$.,'--',-~~:.-;;{.~~!\~'j(;~;.:,,- {J' ~ {ij Q {J) '\ ~ 1:; ,,-s:: 0 .... ~~;:K:."",l': - ~. 0" ~, ~ Q: ;'$ ~.~ Jitl,J!.>. ':"':"";.' x '. ... '.' ,......" ,,;;; it' (f .f! #; D. Brancb Circ~....' ~ R.1L.~..&' ~'i:.; ~t(, . <. ..:'.'.'...... ,,' ", >ownersN~.lIjf::?~'" ~c;!!!:; Ne\r1~tr~~o~t~pa~el ....'.. Address ..k63'i~'-it~~'r. ~ a f Orie~~lf~~U'!"O~! ~ $43.00 City pH! ct.: Phone ~ $'~9D 3 7 FiilJ:tl.iJff li~ithservice . ~1f~;;~_f ~$ 3.00 _ OWNER INSTALLATION "I,"se' e' 'I'l"","~off~......f" .jfee'Ud'e'r' not "nclu\ded)' ' The installation is being made on E. " Jte, "" 1IJI~'f' property I o\m which is not intended . -Each ins Ilatillli . .. for sale, lease or rent. . , Pnmp 'or'irrigation .. $50.00 Sign/Outline Lighting _ $50.00 _ Limited EnergylRes --L $25.00 2-\ Liinited Energy/Comm $45.00 / / ""l' " /<,y..<<> City (,';... ~ Pbone 4'&'S~ ~.. ./ Supervisor Licens,e'Number \. //;' Expiration Date )f'A' {Constr Contr. N llI~ber:" '" 2.-q:7;3;~ Address/4f,.S- iw' (ts On'ncrs Signature:, 190:~3IHS\J::J g6'O $:39N\JH::J 00'6g $ T:O::J3~ lW\J 6006 66 (J\JW:31\JO 6L~BOOO-TO:#SN\J~1 Minimum Elect;.ic Pennit Inspection Fee i:'-"45~ + Surcbarges I . ~u , r l.-(\ .,>') 4. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee.. ;?6U TOTAL --- 51 ?J-.-