The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-12-1 . ~t\ '........ <l'/ \, " The following project as submitted has the following zorHng, and does not require specific land use approval. 225 FIFTH STREET Zoning L.o (l- ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ""2 ' INSPECTION REQUEST: 72'6~37o~ 0--'( -'0_) ''\ r; toy Job Number (.3 - 0 0 >Lf<6 OFFICE: 726-3759, , ,('.utl'lonzed Signature c:p(~ 1. . ~UM~~~B' FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION '10'1 :i _ ~+(ec;t LEGAL DESCRIPTION 170326,3 08'300 JOB DESCRIPTIQN . .nk.vJ eOn '\trIA cAJ 0 Ill.. Permits are non-transferable and expire if ",ork is not started ",ithin 180 days, of issuance or if ",ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor Ho..rJ.,:1G f) cct(t'c Address 3 ()3 <J ' \rJ;n tt...rLrc't1t " City CUcu> 0 Phone ~Y'f -600 tf ,supervi.~ License Number /IJ1J76 ' /0- }'- 01/ Expiration Date Constr Contr. Number L'1J. 0 xC] Expiration Date ;)- /-DLj , ' Signature of Supervising Electrician FA~? ~ O",ners Name ~A\J\\~ \C-Lt:11~~in , \\es ~Uv. '1.1 ' Address 907 "5>,. ~~~I te~j;()" \)\\\~~.-\ , ' 0\\"- e U\"'''' se\ ,- . <:: c> ~~.Oteg '0.1 \" ~ ~hChfl\(t Cl ty ,.; ,J':';~ ~1' _H~o. p.lioIl~\e";:>/'J<t o.~(..""CV' . ~,'e-\". S a.OU" - ,,,ose ~ UI"'" tu\e':)' ~~("'I~sJ~m\TJ;8~,tOU~ s 0\ \"e ~o{\e \o~. \ca.\\o{\ 0" ~QQ \ . ,,\Co~\e \-ne \e\e? 'O.\.\o{\ The 'i:n~ ta.l(l~'Pon.' dl'stf)}etiJllg\fma<:le tQn\\\\C t":\~f' - , ~'(\." - \' '\l~ \ proper-t{~ I{(9Y~ ",we.j\~~tis dW,e,\\:rf}'ts.:{id)ed , for s,SCl''eq'\.\l~a'se", Qre ce6f).....()_'3'.)'2... ca.\ \\ '::) 'ot \l\ . ~ '" .~\ I" . !.et'\ w" I':" , Owners ~~gNatQre~ - , --------------------------------------- DATE: 'D1l'MlTPT :II:! Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to'1000 amps Over 1000 amps/volts Reconnec t Only , $ 50.00 $ 60.00 $100.00 ' $130.00 $300~00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' .OT less ,201 amps to, 400 amps Over 401 to 600 'amps Over 600 amps or 1000 volts $ 40.00 . $ 55.00 $ 80.00 see "B"" above D. Branch Circuits , ,. Ne"" Alteration or Extension per~anel NOl\CE: SHf..ll EXP\RE \F lHE WOR J1Mr~:;~:~~\~rbO AI'l,{'~~P~: $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation ' Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Re~ $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE jl.{'1/oo$ 7% State Surcharge f N'fO 3% Administrative Fee UI-~8He> I ~.