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HomeMy WebLinkAboutPermit Electrical 2001-10-24 (2) The!;' . Ing project es submitted hes the following . 225 rlFrH STREET Zdfil, d does not require specific land uss ELE ICAL PERMIT APPUCATION SPRINGFIELD. ORE~ 477 r-.IJ INSPECTION REQUEST: 72'.(!11l1q'" 1/\"""1 """ '~b NUlllber OrrICE: 726-.1759 Dal" _ 10 .c')l.-1. .0 I I' I. LOCATIO.!::!. OF Ir.fS'I"xt~~f1@ll&ture ~MPLETE FEE SCIIEDULE BELOIV z.... ".....2- DI1lY\A <;. ^ New Residential-Single or Multi-Family per d,,'cIling unit. LEGAL DESCRIPTION Sm'ice Included: 17 . 03 . 7;3 . Uu. OO,'LO lIems Cosl SUIIl .1013 DESCRIPTION I ytC{)ktco . ~. Permits arc non-transferable :md c.\:pirc irwork is not started within ISO days of isslliJllce or if work is suspended for ISO days. 1000 sq.n. or less Each addilional 500 sq. n or portion thereor Eaeh ManuI'd lIome or Modnlar Dwelling Service or Fceder $106.00 $ 19.00 $ 50.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders InSlallation. Alterations or Relocalion: Electrical Conlmctor0l~b f::U.:{;;:rC:> iG Address 2..151 VD () Cit)~rl oczf' o'JrY Phone')41-14b-4bS f" Supervisor Lieense NUlIlber ..q'E) 1'S S sf . 200 alllps or less 20 I alllps 10 400 alllps 40 I alllps 10 600 alllps 6111 mnps 10 1000 alllps CIi'er 1000 amps/\'Olts Recounect Only _$ 6.l.00 A- $ 75.110 $125.00 $16.1.00 $.175.011 $ 50.00 bpimlion Date 10- \ - a '+ Constr ConlL NUlIlber :<{.5/2Pb bpimlion Dale 4 - 2.. '-1-. O'L .. SHALL EXPIRE IF T~6o~2~sKor less I. ' _' I\ UNDER THIS PERfv:iiW?lI~;p,;1jo 400 :nnps Signlllure or Supervising Eleclrician 'J OR IS ABAND()NE~'8'f1"lto 6110 alllps L;l , ~ -' Over 600 amps or 10110 \'olls see p;.:'i ,;:' o\Y Pf'RIOD. "13" abo\'e ~~~ - 'l'\ D. Bmnch Circuils Owners Nallle Vh t m A 11'0)( C. Tempora,)' Ser"ices or reeders Inslallalion. Allemtion or Relocaliun $5(1.(1(1 $69.(1(1 $10(1.00 Address2...'S-;:l.,? ()()('Y\{\~ CityS(JI"I,,,r. G.n:iPhone 12.Jo -0140 OWr-'lER ;;st~LLATION New. Allcralioll or Extension Per Panel One Circuit $4.1.(1(1 Ench Additional Circuit or with Service or Feeder Permit $ .1.0(1 The installation is being mllde on propcr1y I own which is not intended for sale. lease or renl. E. Miseellancous (Sen'ice/reeder not included) -Each inslallalion Pul11por irrigation Sign/Outline Lighling_ Limited Energy/Res . Limiled Energy/Conlin $5(1.(10 $5(1.(1(1 $25.(1(1 $45.00 Owners Signature: '. 3\:0: iJ3IHS\78 : 39N\7H8 S9'3L $ 3:083iJ 1W\7 1003 30 .l80: 31 \70 9889000-10:#SN\7iJ1 10-.....1. .. 5. SUBTOTAL OF ABOVE 71X. Stale Surcharge WX. AClil1i'ni;lrativc Fcc .. .). TOfI\L Io~ - <lAl <; .0"1 c 72.....4 S"