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HomeMy WebLinkAboutPermit Electrical 2001-2-9 (2) The followmg project as submitted has the following zoning, and does not require specific land use approval Zoning, (l fl--.- 2,-"1-0) 225 FIFTH STREET Date --/ ,:.j SPRINGFIELD, OREGO~"tRJ~U Signature U"\ INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ELECTRICAL PERMIT APPLICATION City Job Number 01- 001\3 -0 ( 3. COMPLETE FEE SCHEDULE BELOY 1. LOCATION OF INSTALLATION \OLlO b1o..:;te4 ~. LEGAL DESCRIPTION 170 "3> 22 Z. D OZ3oQ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: JOB DESCRIPTION H re 4" Sec.uv:hr>o- SV\ &-tl(Y\ v ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf',d Home. or Modular Dwelling . Service or Feeder 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders .' DB IT Ins talla t ion, Al tera t ions Electrical Contractor Philios Electricl~{a~dor Relocation: . €I ei/'>17f) '(, Address , ?qR l'."I'],,,' n,-;v" ~SIvn$ 200 amps or less 201 amps to 400 amps Ci ty Eul?ene Phone(S41) liRR-li171 401 amps to 600 amps 601 amps to' 1000 amps Supervisor License Number ?7,q~ Over 1000 amps/volts Reconnect Only Expiration Date 10/01/01 $ 85.00 $ 15.00 .$ 40.00 $ 50. 00 . $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 26-34C C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 10-01-01 Signature of supervi~ ~~ician ./1 (;~J . - athan pn111ps Owners Na~e ~~ Address p, O. Box. ,I S''l '1 Phone -.:J:1/0 ~ Il./~ 3_ Ci ty ~A 1(1 ~ J/'J... () OYNER INSTALLATION The installation is being made on property I own which is not:intended for sale, lease or rent. owners Signature: --------------------------------------- DATE: RECEIPT tI: RECEIVED BY: OZC>9'Or '-Nt:;, .-,..,/3. 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation .Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Add i t i onal Circuit or with Service 'or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 oS 40.00 $ 20.0C?r, :-- $ 36. O~ ~~,OU 3l.e ,(JDJ! ;:;1 ~ --~.# .;.<,~ oJ:-:' :;:j .:; I , !G '6 r-.J tI"..... ,1'<1~~'58 . ~~()~IS- O'~~ ~"O!--4L...j