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HomeMy WebLinkAboutPermit Electrical 2002-9-26 .' . ~.CAL PERl'o'llT APPLICATION City Joh Nun;he,: 07 -00693> 0 225 FIFTH STREET . SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726~3769 r OFFicE: 726-3759; . 3. COMPLETE FEE SCHEDULE BELOW 1. LOCATION OF INSTALLATION 12.'7'!>~l{l.."..' i.." A. NewRcsidcntial~Singlc or Multi-Family per lIwclling unit. Ser"icc Included: LEGAL DESCRIPTION 1703.2JLfc.{ ()'TZc5D Ihelollowing . submltt90 liaS =1.~ow\ng prol8ct ~s equire specifiC land use JOB DESCRII'l Ii and doas nO r . ..) 70 I Lo.- ~,'>II~,*",A6-K J..1"2fL. Zoning q-~ ~'" -0 Y Permits arc non-transferable and "yr'.. ..;:r$.' J if work is not staR~lf\Vlthin 180 aili€ - of issuance or if \1'()Il"'lj~~iS~,ma~a for 180 days. Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof tach Manufd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $ 50.00 2. CONTRACTOR INSTALLATION ONLY Electrical'Contractor 01 c1-8.. \J~ 'ok.. B. Services or Feeders Installation, Alterations or Rclocation: 0\:~ 200 amps or less '.. p~ ,{, ...."j $ 63.00 /. 201 amps 10 400 amp~ . ((j1'>" ~~\\ \)"'<ri1:S;175.00 = Phone fil-If?-;;"'(D,,: .'.., 401 amps t~6RB~)nip'r-~I;>O~~';((" ~'~ '')$)i'25.00_ , , . .;:, ' 601 amps to.'lOOO,a'nips ",W- ,,;;;.~~"_ _$1:63.00 " . ,p" e'v Ol~'-'" - . , , '_ - .OYfr 1000,a',iipS!,'01!s)ll."", .....'" (\)\"$~75.00 _ ", '~ f' - .."..... ~t ' ~,Ov.,,' 0\" i<\' \ .: '$:~;~:,' ;' ; l'~' Rec~';:~b~I_~y~..\,\ ';I'"W<O:", .....;,o~~. i\\~O\OO_ ExpirationD. ate ' 1\ ,\",,, " ,,' .lr'.\d\~ "'....f\,.,:6!?';,~(\I.'fJ...,I '1.\\.... .,.. .- . '. '_., I,.,' I" i,i\..:a." ~::.".,' ",,=,,,~" m.' ~~., y .- ,:".,,:,,(;, :.;.; ,.'- ", Cc '-' C. TcmjJO""l')qServiccsfor Feellers u\\,,~. I\~' . Constr ContI. Nm;;ber' \ 2." "i ):G" ,,',.-' - 'I':;~lmfildu;tP;I~i7?tiOn'~'ReIOcation."~ ~"- .. . ,- :r~~~~~tt~~f:1T~~)C\0P')"~:'-~. $50.00 201\amps toAOO amps $69.00 S;(1j;{;S~~" .~!= ~":"";';~ ~", = . '''0," ..... V ' I Pc D. Branch Circuits ~'t. ~'\J'?-~ Owners Name '3io---f-'+':"'5 ,)~~ '" IS Ne\\' Alteration or Extensl~Pirll*,~\S~ . . .... '- ' ~'\'~ ~'t.'<-~' 'f,'\J'<- Address 7c.{/..,' ",,5/-ae.e--'1 ~'\:J~~~~~~{\ S~~~~,<- ~~t~\)~~'t.\) $43 00 - City s,f'Ft::. Phone 7Lf7-0'55 g \\l,1litR ~~RI@'~~6~.\\'JthServlee ~ [~t \l't.'?-~ _ HOO OWNER INSTALLATION C.CJ~~ \)~ The installation is being made on E. l\liSce\!'Wt.ft~~sen'ice/fceller not included) property I o\\'n which is not intended '~ach IRst<lllation for sale~ lease or rent. Pump .or-irrigation $50.00 Sign/Outline Lightiug $50.00 Limited EnergylRes 'I. $25.00 Z;) Limited Energ,,/Comm $45.00 Address 14 '!hs- w ,\;.. City ~~. SuperVIsor Licens,c Number Expiration Date be., OWllcr.s Signature: 190 : ~m :,S\:!J ~6'8 $ 39NtJH::J 00'09 $ t;O::J3M lW\:! 1:006 96 d38:31\:!0 OtLOT.00-10.#SN\:!~1 I\'linimull1 Electric Permit InsJlection Fcc i~ + Surcharges TOTAL 'i) y/> 560 f5(7.1: 4, SUBTOTAL OF ABOVE 7% State Surcharge 80/0 Administrative Fcc