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HomeMy WebLinkAboutPermit Electrical 2002-8-14 :': F'225,FIITHS;rREPTr-;~-\ r.'1t I' I "" EL_1CAL PERMIT APPUCATION ;,>.! ::SPRINGFIE,I.;D,OREG9)'i97~771, .'Jr'~'l !'..c~: I,J'., ...... 'ni:. . "~. ! INSPECTION REQu;ESl-726'~\69111 S 'I i ;City'Joh ~umhe..():;,2 - O00\83~ 01 '. ,\, OFFICE: 726-3759. :', I, ; I , '. I I . , I !' ,. . \C;')! ! .1-' ::l ; [ 1 [:. \: \.) i ! : " : C~, :3.' COMPLl~:TE FEE SCHEDULE BELOW \~:>' 1~'4b8~^:!~~~{jALM1WN,l.; :-{J~~N1:':Rc-tdentiL-SiUgle or - -~-,-- ':..::- 11-0'3:. - ~ -If '2- l bOD Multi-Famil)' per dwelling unit. LEGAL DF;SCRIP\JO~ ^ ^ ..r;... t lI~lilVce Included: C"" ~ 'P...J 'tt' ~ IIJ I {.lJwr-- .'jO l,; ~ <ubmltted has I~:n~ use Items Cost {see... ......~,,~ s I ~~~~,"e specifiC . JOB DESCRIPTIO~ zo~ing, e (If 1000 o~.fI. or less $106.00 ~. .;f.v;.l-"-Il t~' hh -tv(">fJrf'~ .t,.c){dR I 01- ' Each ad 'lional500 "WhJ.r<- VIJ ~~ ,~- / ,1.\ -\ sq. ft or portion ~, ~ Perrmts arc nl? ansferab~tk!l , )..Vv tl:c....ul if work is not started within IRO "'\l1S SignalUfe - , Each Mauufd Home Of ' . . ~J~m I of issuance or if work is suspended for Modular Dwelling 180 days. Service or Feeder ~ ~' ' I' '.\" :: "," ,'" I I- :, . ,:-, 1 . , ;. ., Sum ,'. ',' ; $ 19.00 ~ ,l: ' $ 50.00 ~ / ,"\ . 2. CONTRACTOR INST ALLA TION ONLY B. Sen'ices or Feeders / rl _ _ L _ . Installation, Alterations or \' Electrical':Contr~lcto~'''''''' \O!( ~ -u.eu:rYI c.... Reloe'~i~n:, ,a\l\l ,raqU!reS y()~ t.Q . " ' ; i ' /". IC.NiIJ'\!,V(~\i,~':1 ttieOregol'llJtlhW :..' \ " Address (::t 1'05' 0: l3u.J c.k... ,~'..f"' r~\O; rU\C2001lmps~~r I~~s rules are set fo~ $ 63:00'- . " 4 4~ o. '.at'lor?Q.13ai1ijis to'1iooeanjpsO^f\952-001- . $ 75.00 -' r. ,i t2 _-:7'I":)~z?..,,"" _,.."!:\i-,,"'~IUul 1"\, k ~ CIty ev,~..t/f--(..J Phone ,r;:. /;;.["i",c'AR'9~tQ;1~am~~ t~, D~O'a~!l',foH~ rUle~ $ I hOO _ I" '\ I) ';It / ., s:\l\@'vu60,!ian!pstofIooo'}ampsl"la'''nonL-$163.oo_ . I . /..., &It ;....'T~i;~:C ""f\ril'i 10 H J ,-.t...\-o.o1:ile.9 t". _ . SupervIsor License Numbe ',j.. C I .,c..o;.J;' ",,,,>>vi. ,9fJ'!:;~9~l)'amps/voIIS. N6tilicatl~ $37).00_ I V. oaJI1l9 R~~RUegt<;)!!1yll ~}\\ty. _ $ 50.00_ Expiration Date . ~ , '. ' ntllTlb$~Pl't\al i$ '+-a1)(~~)' ,_ . ,. (' - ,\.,:,' ", ' ." ~,\,;~~" ~ \"::/.s.:,!cmifora.i'YScr"ices:or:,Fcedel,'~" /"):,>'f-;,J';.'" . Constr Contr. NUIllber -:- :"<~::)"]nstallation, Alteration'or R~lodltio'n "",}':":.! .'. I ..." . '-.~ ~_____~.:...._,_" ~;>~';' ' ..'': - . , ~ ':;,;{:~". -ExplrallOn Date '-_. ' 200 amps or less ',' " $50.00 _ . ._,.<<"-~""",. 201 amps to 400 amps - "$69.00 :..' Signat;,re of Super"ising Electrician -<Over 40 1 to 600 amps $100.00 " Over 600'ampsor 1000 volts see . ./JL ~dz:n-... "B"~b7~'. -'---~f1\1EWOP.~. , . /.5' .) I D.t-.i\l1\t\~liGlrClP~\1~\..\.. E'j.PIP.E~1 IS \1101 'OwnersNametfo..j.,t, J..u;: d'<Jt.-. .t-s-C \\1I~\i~I\~b itW'f.1FI~?' 'l~R .IL<l?Ic. _ . ../1 ~Ov,IIE\). ~'Of>.\II\)Q\II Address'fVVb,. r r:~)d,.IV 1>/l/tY. ~U\ ~~6\~Iifi) 01'\ ISO\) -L.. $43.00 _ . CO ~, Gf>.'{ PE\\\ ' Cil" €~ Phone 74/ - "7 ~ .1.-'(J M~a~I~~dditional Circuit or mth Service <:;J - or Feeder Permit II $ 3.00 OWNER INSTALLATION ~. ,~ - Theinstallalion is being madeon E. Miscellaneous (Service/feeder nol included) property I 0\\'0 which is not intended -Each installation for snle~ lease or rent. Pump 'otdrrigation Sign/Outline Lighting' Limited EnergylRes . Linlited Energy/Comm Owilcrs Signature: $50.00 $50.00 $25.00 $45.00 nO:~3IHStf:J : 39N\JH:J O~.LB $.G:a:J3~ IH\J G006 H 9n\J:31tfU ~6GOTOO~10:#SNtf~1 I\linimum Electric Permit Inspection Fcc is S45,()() + SI.lfchargcs 4. SUBTOTAL OF ABOVE 70/0 State Surcharge gOAl Administratiye Fcc -710,00 S . T2. (" .0'6 ~'1. 4D TOTAL