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HomeMy WebLinkAboutPermit Electrical 2002-6-11 ",i" 225 FIFTH STREET . .\ f . - , 'I ," SPRlNGFIELD, OREGON 97477! ' INSPECTION REQUEST: 726-3769 - " ;,., j OFFICE: 726-3759 : ". , . v - " : I '. . \ . -' I' I I ,,1: ' I. LOCATION OF INSTALLATION i 71f<t :.:.;::) h;...,..r'j~,,/;;_ LEGAL DESCRIPTION . I raZe) 5'ZZ ., at dP--' ELE~CAL PERlvIlT APPLICATION :.' '-. i '--: ! CitY'Job ~umberD2 --0 0 fi8''Sf,--o,' ; i ( ; j" I . i~~ \ COMPLETE FEE SCHEDULE BELOW !r :!- ,/ I." . A. New'Residential-Single or--.... -.' Multi-Family per dwelliug unit. Service lucluded: -.-',.~ . ~'. -" 00700 JOR l}f~~CRlPTIOl'j 1000 sq.ft. or less _,<.1::T" CCl/l/ N&c:I . -J> EtlALce- L _. ~ ~~~!l<<i~itional 500 . o"as\"~1i'& portion Permits are non-transferable and expire s S\lIl<f\i~:?OC\\\C \fi~reof if work is n~t 'started within 180 day,s 9 9~o\ac\; ~a~u\~e Eac nurd Home or of issuance or if work is su~IbI'&t\\ll oOos l\ <Z-:: odul eHing 180 days. 1-0l\\l\Il~a\' k\ 0 z... ce or der a\>\>'o 'Z-ol\il\1l - 2. CONTRACTOR INSTALLATION 0 \)a\e S\Ill\a\\l'O ~nn~\"z.eo I^'- Items Cosl Sum $106.00 $ 19.00 i , , '. " - $ 50.00 ,. Electrical' Contractor 'Ices or Feeders Installation, Alteraiions or Relocation: ! /~'-",\ / ,'",',. / 200 amps or less -------'-.:. $.63.00 ~ / "~ 201 amps to 400 amps .,~:.-: ';:$75.00_. Phone /, " ,401 amps t~ 600 amps ~~ is- - .,. $125.00 _ \ , \ ,/ ,: ' ''- "6Ql amps to 1000 amps~' ~~ ~$163.00_ SlIP~rvisr Licens,e.:Nu~l:b/ere~f : i;:~~ ' . -' ,~:~~~I~e~~~~f:/:~~~~~ '-;' ~:~;~.~g .5 0 {::::::t::n:a:m;ibe~: -/ ';~' :~~~;:;,~'<f~l,~~;~~:d~~V~:iO~,., ~~", . ~ExPiratlOn~~~e----'<--,_i~~~", ;k~{~~.~~~,\',"~:~>7'r~~~~ .; . Signature ofSupenising Electrician -~~~ ~~amps' ~':".~$IOO,OO_ '" ~~' sorlOOOvoltsseeb~ "', ' ~~ __ ~v .-"'" G ~~ --#'-~~ v/ .;#- ~ ,- ' Vi" ij! Branch CIrcuits ,P '$'0 .$-f(j Oll(' ~:ls1.0 f,}O~ New'Alteration or ExtehsJ<5b 'Be~ ~ne!} ~l'/>~~~ .',;- '- ~/J.~~,l'/>v",~Q'!fo\)ft<t> '$:'" ~"I;;:." Ode Clrcmt \.)>~<:i ",i"",r:::. c.<:J .0' _~$\3,'OO " '." !b~ 5:)" 'S'_w -.:;,::> (t-~ - , ,(,P.$-'<- CJ ~.: ",'Ii ~- >:- ~: dJcJQ,.,/ Each Additio~aII..Gi(ciJ'i\ or~1I1~Se&ice~' / () , _l)",,~ ~tr ~, ~,. ~.:'Y-~"" or Feede{:P~.1;.!llit<ll<:S ~' do ,<-0 .l1''' $ 3.00 ..: . t>~ ~ .J..Q':'~'<- ~ ',C;' E 1\1" '11 ~QS'O .;, "f,C,'\ld .0<' IP.~ I 'd d) . 'ISCC aneous . CIi"lCo ee cr."no 'me u e . ,.,^ \.,....~. !&' v'Q^ " -Each inst~llatioil ~~ ~' Pump or irrigation..}} . Sign/Oulline Lighting Limited EuergylRes Linlited Energy/Conun' Address : City ownersName/!fi.l~-v:r(J.;P ~#')vl' D. Address-Ztr,1 Pi 'jh~"Vr \J-,€"y c::.- City $/9; 1-//- /.tbone ;7',J. t6 OWNER INSTALLATION The installation is being made on property I 0\\'11 whicb is not intended for sale1 lease or rent: $50.00 $50.00 $25.00 $45.00 t90: ~3IHS\:J::) : 38Nt'H::J OS'[,I; $ G: O:J3t1 lW\:i ;::;001.; n Nnr:31\:iO ~8~6000-tO;#SN\:itll I\linimum ~~cctric Permit InsJlection Fec is 545.00 + S~~rcha.rgcs TOTAL s-O :sso '-(00 S7~ 4. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fcc