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HomeMy WebLinkAboutPermit Electrical 2001-5-2 . . SPRINGFIELD ;'.I/='~'t:;"u"'s\IE{.'( :J::n'V;C.:~ UU.JHiif!.ICI'.1 'It dhasthetollowing . "ect as subml e The tolloWlOg pro) \ equire specific land use zoning, and does nO r approval. L.l:>{L.- 225 FIFTH STREET zoning.5 - lli~ - ~\ P' BCTRICAL SPRINGFIELD. OREGON 97417.ile -\0Jl INSPECTION REQUEST: 72A~thilR1t Signature - OFFICE: 726-3759 1. LOCATION OF INST~LATION <rl '3 r::: R r> v A- (O--<'f' J L ...A/~ LEGAL DESCRIFTION I fD 'S 2- 3'1' S 225 FIFTH STREEF SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726.3689 PERKIT APPLICATION dty Job NUlllber 0/- 002-1 (- 0 ( 3. COMPLETE FEE SCHEDULE BELOII A. New Residential-Single or Multi-Family per dwelling unit. Service Included: IOcr cr~ JOB DESCRIPTION ,('PC')tL.-I~ Sydr-..... Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ADT Security Services Address 4660 Main Street. Bld~ A. #100 City SDrin~field Phone 736-4973 Supervisor License Number 853 JLE ExpiraHon Date 10/01/02 Constr Contr. Number 26209CLE 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: It ems Cos t Sum 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 10/01/01 Signature of Supervising Electrician ~ /VI ~. Owners Name R.n" ('~p 5 Address )" A-""'--" City ~;;:rfl Phone'lY1-tJ'Q{?- O\INER INSTALLATION The installation is being made on E. property I own which is not intended for sale, lease or rent. Owners Signature: :~~~:-:~-o;--o-z=-c";~~ 32 ''j 5. RECEIVED BY: <:"'\)~ ---- 200 amps or 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 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ?-.O Q' & ?-o''''''j #~ -1/0 ' -Y-U-O'? .(L '1)'7 ;LJ- ~