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HomeMy WebLinkAboutPermit Electrical 2004-12-31 ,~' . . SPRINGFIELD 5 VA l:;:V t.: 1 t:UUl . AMT RECD:2 $ 143.75 The tOllowing project as Submi CHAN~E: zoning, and does not raqu tted has the fallowing - ' CASHIER' 011 approval Ire specifiC land Use . J. 225 FIITH STREET ' Zonin L'b(t. ELECTRICAL PERMIT APPLICATION SPRINGFIEJ.D, OREGON glA77 ,g 1,. ,~ ' INSPECTION REQUEST: ,16=?i63 I ....',11-<>1- City Job Number () 1- o'J 0 15-0 \ ' OFFICE: 726-3759 Authon'&d Slgnatur. {t.0 ,3. 1., /r;t}qON~/!1%t'/fJ{rf:!- \ l...LEGAL DESCRIPTION . I.OJ:,. 3'-1:."2.3 OU?9] J _ ~OB DES~PT;rON . --1Jl.fd.1I.1 COt2.~t(uc.+ LQV\ Permits are non-transfer.able and expire if work is not started within 180 days. of issuance or i.f work is suspen~ed for' 180 days. 2. CONTRACTOR INSTALLATION ONLY ,D. ElEta!OT~a:X;ontr~~ t~~~' ;lMd(lJ~ EJedr;c Add1~lSlE~~~,~~OR~ ' Ci t~~~~~~~~~~~~lJ- ()D~ Sup~Wi~~'il?~s!QQ;umber I'lJtftS Exph'ation Date Ib-ol -03 Cons t r. Con t r. Ncmbec' /3;Jbgr) Expiration Date 2..- J./- {yl ~fd~l~an Owners Name ~,l'EdYI'(,t, Address \S~&-~O ~ Ci ty~ Y'\~'b.eLP\ . ~hone 7L{(,:;,-1/?-,}-i , OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: S9KP-LETE FEE SCHEDULE BELOV , A. New Residential-Single or Multi-Family per dwelling unit. Service Included: '.~s I Cost ',' Sum (Olp ,ij) $ 85.00 IO/.Oll' $ 15,00 Items 1000 sq. ft. or less,,_ Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder " ,$ 40.00 S. . t.;';;1...,..~tT.F:""\...I~..{"\,.o~on la',^J fpq1J!r'"'<" you to erVlces ,Ot" eeuers . ' ,- U \"" I t 11' 't'.., -- Alt~h''t1'' ,h,) ",:"gor. ,OIl, nSRa'I''':lt,Oi,n,~ ,~,:.rfh(;~~~ul('D &\e 00i :J"h or e oca 'on :J..... .\. .. . ~, . , ",' "9"" 'O',"()'OlhrouohOAr.a52-0n1- :..,l....rl ..',;......... lo.J , ~ " b zOO amps, or.ulesso\.;t.1i" Dcp:eS l.l's,tS'cHoo' Y 201 am~~il~& 14.o.0;@mps(NOle: me $<loo\:l09~ 401 ail!P'fill~~' ,~q0,1,!lI!!P~2c)n um:ty $100COo;;n 601 amps to r3.-P.9.P, i'1",P.~~; ._X,2-2~-$,J!~0. 00 Over 1000 a~ps/volts $300,00 ReconneCt Only ..__ $ 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~s D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above " New, Alteration or Extension Per Panel , , Miscellaneous (Service/feeder notAncluded) ~Each installation " Pump or irrigation $ 40.00 Si'gn/Outline Lighting $ 40.00 Limi t'ed Energy/Res $ 20.00 Limi tel:! Energy /Comm $ 36.00 , ~r v.$~(")~ 00 SUBTOTAL-'OF ABOVE - fJi:::/O -. o""-J 7% State Surcharge qo~ 3% Administrative Fee )0. ' T01'AL 1,4'''.71, One Circuit Each,Additional Circuit 'or with Service or~ Feeder Permi t ' . E. 5. $ 35.00 I $ 2.00 '"