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HomeMy WebLinkAboutPermit Electrical 2001-11-16 (2) TheWlng project es submitted has the following _ _ zoning, end does nl?~requ;r~ s~ecific la~d use 22) FIFTH STREET approvel: '. . " . '. ' EL, RlCAL PERMlT APPLICATION SPRINGFIELD, OREGON 974r'oning '. tA;}12:;, '" ' INSPECTION REQUEST: 726-3769 \ tl ' , ,\'. /City Joh Nu~'her "0/:'" 0 /22.. cr - 0 ) OFFICE: 726-3759 pate ..: 1/'WlIW\ . Authorized Si,-k~T;:::~TI:.::'fE FEE'S~~DULE BELOW, - I. LOCATIONOFINSTALLA:r. ,,- ".;"'" 3~3.0 G-Awt Address UP\c:;,'1'-~"'cr.. ~,I'+P." :...., 200 amps or less .. 20 I amps to 400 mnps' . City S re. 1,1, Phone /Lt)Pi~/,'...'. 401 amps to 600 amps :', ; 'n ,.60 I mnps to 1000 aliII" SlIpcr\'isor.~icensc ,Number .J:l)? 1'.'; . . .Over, 1000 amps/volts. ," Expiration ~~te ,- ,'(()'-d'J'tC)U? '>:..r,'fo;:n.e,~,:.~~~l~;.,~.:,,; ,,," ' . .' .:.... . '".,~" c, ,,:,. c.Tcnijiorary Service;or !'eeders Constr Contr. Number~p-UU7( :" " : <". "In~i'!llation, AItcrationor'R~loc~tion'. .., '.,-,; :\' . ..:;~'.,." "<," ;:"::,,<<:"..:'.. .~. 1()-Ol~~0'7 ,,', . C ,,"'200 amps or less '...,' " " , . '. $50.00 f . '" ti""'$"',-'~"'" ''''. '-',: -" '. >'.,2ql amps to 400 amps.... -'. . .. '..c:...::::..:..$69.00 ""'-Ove,-.401 t.o~OO alllps .: ,'" '.' : ' $ioo.oO , Over 600 amps or) 000 voIts~ee... .G' " "B" above . ~ .t:.!,; D. Branch Circui!s .' New Alteratioll or Extension Per Panel . -:. 't .~;;'F':~'\ : .'~'.. On'e Circuit' t .^; "I. v LEGAL DESCRIPTION 170315'(0 ()3/00 JOB/ f~C~TlON I{ ( f'/IIwt P Lt sJ...,a.. Permits arc non-transfcrable and expire if work is not slnrtcd within 180 days of issuance or if work is suspended for ] 80 days, 2. CONTRACTOR INSTALLATION ONLY Electrical' Contracto~, ~Lh.,'( Expiration Date : Signature of ?upcrvising Elcctric)an \(l) kilil> h ww, J ) ~LersName O~~c-~'.. LJ~ f Addr~;s3"J:j,:6'-"r~e.;./~ ~1 .", Phone '7l-// -816) City 'bt Jc.0 OWNER INSTALLATION , . The installation is being made on, ' property I o\vn, which is not intended' for sale, lease or reni. . ~'.. Olrncrs Sig,nature: .. , ' '.' 1:90:!J3IHStI:J : 39NtlH:J " S9"1;11 $ e:;:O:J31j lWtI ., . .. . . ']:00e:; SO I\ON:3.ltlO ~., '.' . , , . ; ., .~.' I;L.1:I..OOO- 1:0: flSNtllJl ;.., ., ". .. " .' ',. , A: New Rcsidcntial:.Singlc or Multi-F:unily pCI" dwelling unit. SeI"'l'ice Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Homc or Modular Dwelling Service or Feeder $106.00 $ ] 9.00 $ 50.00 B. SCI"Vices or Feeders Installation} Alter:~.tio.ns or' Relocation: : .>~ : $ 63.00 . ~$75.00 ~$I25.00 ~ $163.00 $375.00 , $ '50.00 ---;:-- " " .",., .r'~4300 !f.1 Each Add'itional Circuit or with Service' or Feeder Pcrmit L $ 3.00 .l E. Miscellaneous (Sel"Vi~~/feeder not iocluded) -Each installation . I'un{p 'or irrigation '. , . . Sign/Outline Lighting Limited EnergylRes,~ Limited Energy/Coium' . .'....:- $50.00 $50.00 $25.00 $45,00 I\linimum.~I~ctriC P..e~mifl~spcction Fce is 545.00 + S~rchargcs 4. SUBTO;AL ~F'ABO~~ 'fb 7% State Surcharge 8% Administrative Fee TOTAL 5?~