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HomeMy WebLinkAboutPermit Electrical 2002-2-19 (2) , " I I, " . . ,"" " I I I, \ . I . I I " I I, I.. r I t t', .' I " , .,., -. , , , : 225 FIFrH STREET" . \ "'1 : I I ~ ELECTRICAL PERMIT APPLICATION ;SPRlNGFIELD, OR1OGON 97477 I _ L ' INSPECTION REQUEST: 726-3769 I j I CityJob Number' 02-00/50 -01 OFFICE: 726-3759,} I ,i .! ii' - ! , . .! I ; i ;, I :3. COMPLETE FEE SCHEDULE BELOW ,I .' ! ; . 1. LOCATION OF INSTALLATION :11. 'SSZ'5""GiHl..()&v" ~v'fl"'" '--"-'A: LF&,c\1" QESCRIPTION J BOZO b'( z. 0-0 5'S / I :' / I Ncw'Rcsidcntial;'Singlc or --- Multi-Family per dwelling unit. Sen'ice Included: Items Cost SUl)l 1000 sq,[t. or less > {z"kc..",., , Each additional 500 " ..-.."'. ",vleCI as submilted.n.stlhilu",ooic.u. :; zonmg, and does not require .::l~~. ....PVwmy Permits are nou-transferable ana~i. sP"flifi!r~a~d Use if work is n?t ~taned witbin 180 days Zoning ./.[)(L Each Manllfd Home or ,'", of issuance or if work is suspenl'l!,y.!or ~. '~_ O}., lVW';u;u, E..>iling / 180 days. f . . ,.....,;,..'" ".. ~~er Authorized Signature JA 2. CONTRACTOR INSTALLATION ONLY B.' Services or .'eeucr> I " ':'. . Installation, Alterations or ElectricarContracto~61qene. EltxiYtc..- Relocation: / Address 1l.D mb ~ '::..0 e.. ST. //'~'h" 200 amps or les{,-: ,I / "", 201 amps to 400 ~mps City E Jllene.! Phone 3lJ1.1.-3Sfi>1 401 amps to 600 amps I v , \ L' I., '601 amps t$ 1000amps SlIpervisorLicenselNlImber IOC,ZS ","i', "Over 1000 arTlPslvqlts II.~.,;_>L_:~: ''f ( ~. .><x.'<,." " :"':~":".",>L\/<,.; ;':;;:~ '~;'_';'~#:f~';:~;;->.:;',:.~~'.:~.:<R~onnef(Q:rilyJ"~_:,/:,:'" Expiration Date ""lolo~/o'3,'c iV\' \C~)i:~',...:;,f'" '~tihy' Jh:'eOre9(),fl'!Jtli1~i,;) . "!. ), , '. .'. ".'. n,~""\'w''''lJlV ~"',: ':<"" ';""'. ~--::'~~.'.,.~;',f!r' '. r . " "t~P~<f~~"\',\llswpgltarYJSe":l~~:?... Feedm Constr,Contr. NU1]1berCD.d'102.Wi9~ 0._; ,{),~I\~~Yllt\oiIP~lt~.ation'or Relocation .-"---,~>\". "'xli''''!'\P "~r-l~l>i)c$~~'91ll'l~r;~ule~;~:/ .,.' . " '-,. 'Expiration Date -37171 OEt)0110: Y~\I' '?;!lniElP lNot<i:2.QP3am:il-1~I8SSj . . -. Call1l1~,e..,; "'\""~Qll'athJlSfi6atim1]u;.ps ' '7Sign'~~rc of ~upcn'ising ElectriCi':I\lllber~~:~~~~tfl{)').to 600aIl1ps" ,,' .,.., .. , ., -. '" 'Over 600'amps OJ,I 000 volts see " "811 above----~-'->.;.---- '., /\ Branch Circuits I' i,~~;ll' '.,'. ~" Ne\/~:~lter~tjoIl or{'E,0tension p~f.Pann"',',f' /1, . . " ~ ,- , ",' '.' OneClfclIlt', ." , $43.00 ,!I J ' .. ,/ , , . Each ,Additional Circult or with Service " >,' or FeederPe~init' " '$ 3.00 _' OWNER INSTALLATION ' , " ' :'/ t ....' ,//. ,-::~:~.. './~ .t- . \ The install'!tion is being made on E. Miscellaneous (Service/feedcr not included) '" property I o\vn which is not intended I: -Each inst'allati~h 'I' '; ,.' for sale,leas'e or renL':~i,:-'~'--: -. r! PUI11p'br~1'rrigatioh-..' ,{,,\ ~i50.00 . !I,I.OTICE: .,' SignlQtltline LightiIig$50.00 Owners Si*P,t1~~MiTSHAtLe;xP1REIFTHEWORK :. Limite<!.EnergylR~s . $25.00 . , " " L,iiii.ited E,nergy/Coml11,;' : $45.00 .' AI.)THORIZEDUNDERTHISPERMITISNOT , , '" . i----:-, . ........ ......, ,'.... ,,,...<'. :'-.' "e' . " ..,' _, "",_.". , , COMMENCED OR IS ABANDONED FOR\Iinimu';' Eldct;'ic Permit Inspection Fee is S45,00 + Surcharges , ~,,',;: . . . '. ' . ' ' .' ; . ' , ANYl8QbAYPERjOD_-, "4. SU~TO~AL~FABOVE I (;3'i- , " 7% Sta,te Sti~chargc .c 8% Administratiye Fce ' JOBl~~% $106.00 ,.' .1M $ 19.00 $ 50.00 " , , ,/ '$ 63.~~' 63 ' ---:.:.: $ 75.00 , $125.00 ,....." _$163.00 '$375.{\0 _ ~ $ )0.00 , .--,..... .'",,', ',';'-;:','" ~'&-':"t,~:4' Fj,~>r":<"f', :?,::-;j", ';;:'-<, , 4 ,:~::~;;:y:, , ,$50.00 _: ";"$69.00 ~: ------':$100.00' ' ,If] ,,~.. \ .. ",I",,) , :,,>~,,'" Gm:iJ3IHS\'iCl : 39N\'iH:1 S~.ZL$:2:a03~ 1H\'I GOO;:; 61 83:.1:31\'1a 9L08DOO-tO:#SN\'i~1 , , ,-/4' .. ,,0'1 7? 'I) TOTAL Ai;;,,-;.....: . rr-- "~ ^"-f,'" - -::r-'