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HomeMy WebLinkAboutPermit Electrical 2001-6-5 r a _". '~ _..._..~ .1 V 225 FIFTII STREET tted\,\esl\,\\end use ELE"""'~CA'" P"'"'UIT AP' PLICATi~NS#:01-0005708 ~ ,<soo"" ec'('c. vUU .. """" ltHTE' JUN"07 "001 ' SPRINGFIELD, OREGON 9711,1.1>9 ?ro\.~;"feqU"e S? , ~.. r.l"rn.",,:\ $ 15950 ,,; INSPECTION REQUESTt~~'~6\14~ t.J\')o't-: City Job Number O(-OO':::;t::s~~ CHANGE: OFFICE: 726-3759 <0'. --;C~"()1 C HIER 0'1 a?? 20n\n9 (p~~TE FEE SCHEDULE BELOV AS: .1 '. 1. LOCATION OF INSTALLA~' ___- 337() F0J2. c.tJl~ 7JA. ..,onaIO<. A. New Residential-Single or ; p.u,nor,.. Hulti-Family per dwelling unit. LEGAL DESCRIPTION Service Included: ('~Z- ) 93'-( 05"70-0 Items Cost Sum 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders oA (?/J. . Installation, Alterations or Electrical contractor_~/~ ~~vL~Relocation: ' Address \yO lbo)<, 110 90 City AIQJV1l/ PhoneS{/-Cf'b7JI5027 Supervisor Licens~ Number ~5? ~ Expiration Date / D' -I-{} ( Constr Contr. Number ;WCf0 R 9-IS.Of JO~ DESCRIPTION (Y'Vl m hCHJ..d...-P Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date Signature of Supervising Electrician X-~, c.~ Owners Nallie K-\ .Jc-IL V tl-Ile--, (jldr\ Address Lf/g'jZ II el(~ br " 1'\& City Sw~f- UM,rPhone :67- 1ft%' '1 OVNER INSTALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ------------------------ ~T~~--- '''flU' DATE:,_ _060 s-o I A'\..C.\.onJ.l'J. f: RECEIVED BY: ^' /P ~~ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Owelling Service or Feeder 200 amps 9r less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only C. -L L; $ 85.00 8s.00 $ 15.00&O.ci) $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 '$ 80.00 volts see "B" above 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits New, Alteration or Extension Per Panel $ 35.00 $ 2.00 One Circuit Each Addi tional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) $ 40.00 $ 40.00.,.., $ 20.00 ~ -; $ 36,00 ,;o:D 55 f., ''- - A SnlO) 5. SUBTOTAL OF ABOVE 1Y!Jr;P ~~~ 7'% State Surcharge, / tJ'{1-c, ..:z f-j' TOTAL 3~ C{~, FJ..P. ~a28 '[cYJ-clJ!. 15~~~ ~., ~.u en