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HomeMy WebLinkAboutPermit Electrical 2001-3-28 (2) 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. L~AT:r9~ OF INSTALJ..f>tION -,O'iJ ~~+tYd'l LEGAL DESCRIPTION I ~O:2. At? 2-2- . JOB DESCRIPTION JI>?/tf. A?dPf.o Permits are non_transfe=able anc expire if work is not started vithin 180 days of issuance or if work is suspended for 180 days. 2. COl'<'TRACTOR INSTALLATION ONLY Electrical Contractor (:i,(2.JL.f1.t7J7lr(-c- Address \If=rn f.::>-~O If9An LAI1.L, Ci tY.$)kO Phone rQ(.:, ~ ~0() I Supervisrlr License Number 3 </23 )" Expiratior. Date / t/ / () I j' 0/ . ConsU Contr. Nur.ober lj do-C;C;/7 (. Expiration Date lO;!f);:( . Signature of supervising,Electrician . J // ...-----4' ~ Owners Name~;'(",^ ~<()'o\()_'\ Address ~oql /-ors\,t.h ~D.. I Ci ty~I:::L 0 Phone OVNER INSTALLATION The installation is being made on property I ovn which is not inteuded for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: TRANS#:6l-0004785 DBTE:MAR 28 2001 AMT RECD:2 $ 40.70 ELECTRICAL PERMIT APPLICATION CHANGE: . .: CASHIER: 003 City J~b Number 1?,/_~f}2-'7S--a;:.. COMPLETE FEE SCHEDULE BELOV 3. A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Madular.'Dwelling' Service or Feeder Items I I .B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 am?s to 1000 amps Over 1000 amps/volts' Reconnect Only Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocatiau 200 amps"or less 201 amps to 400 ampS Over 401 to 600 amps Over 600 amps or 1000 vo!ts D. Branch Circuits Nev, Alteration or Extension Per ?anel $ 35.00 :$../ One Ci rcui t \ 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 5. SUBTOTAL OF ABOVE 7% State surcharge 3% Administrative Fee TOTAL $ 40.00 $ 55.00 $ 80.00 see \lBll abOVE " $ 2.00 d- not indue $ 40.00 $ 40.00 S 20.00 $.36.00 3Y)- ;.;.5'1 \ }\ ~f). '10-