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HomeMy WebLinkAboutPermit Electrical 2004-2-26 . CITY OF S. lNGFIELD, OREGON - 225 FOOD STREET. SPRINGFIELD, OR 97477 . PD:(541)726-3753 · FAX: (541~I116l66ll1ll projecl as submitted hes the following ELECl'RlCAL PERMIT APPliCATION ~~~~~~a~nd does not require specific land use City lob Number CtJM:. 'l. CO 4- ~ ro'Z.. -z: 4- Date 0 'Z..r D~ ~ 0 it- Zoning ~ fl- . _ ~~""_~,L' I ..........,..:-.. ......... ......~ ".~.c-r7j 3. .<;Om!"J;'l>'l:EJ?1,i::E~~-'1<~~;~;'I\J', .;<;c..c::J~ , 'f 1. t.tQqT!f!)v:~!.?1N$~Tlg~:',j',~~ <i ) t' (,,5" L")n lJ -1/ If) . .<)pJj). , LEGAL DESCRIPTION nO:' '1-S 3 t\-c> l':J 00 lOB DESCRIPTION SerJii p-rJ,tP.J:t Jkd-- Permits are non-trans rab~e and expire If work Is not started within 180 days of Issuance or if work Is Suspended for 180 days. 2. l':f.Q~~o/9~:Ri~4Rr:.4.~~~;~J%j!l;~ Electrical Contractor Art" Ek d r /c:Tnc Address ~S'Jf.-=<, ~J- 19 -SocdA Phone ?~/-O'/rt/ - City~.e.. Supervisor License Number if!. ~ J' S ExpirationDate /~/Ol/~OO<( Conslr. Conlr. Number d2 0 - {lo3(' , ~~~ Expiration Date / b - / - 0"; \,Y ~_ ~'V"\ \" ,-> Signature of Supervising Electrician ~Y" ~ ~$- \'V'(. ~' ~ ~~:c.,~~~~Y,,'\> (I' A v ,,-,. ~\.'V ~ ...~ ~~ .....~..... (.' ~ '0' ",'VV' ~.; 4&V~ ~~~ Owners Name~~~ ;/If~~Iffllft~' .. ~J ~~~'\;\.." '( ~ Address ~~ ,,,,x-~ ('>.~ 'I-~ ~\" .~ " 1/ r.? City") p~J ."~~-l. '~hone 7!//,#-o/t. f' OWNER INSTALLATION The installation is being made on ........;J I own which is not intended for sale, lease or rent A. I:'N~"':R~i<i~i1W!1:'::$ii1~le:9r;Miiitl~EiUniiYi.p~6Iwe1linll'fuut.. ,I Service Included I 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular DweIling Service or F ceder $106.00 $19.00 $50.00 B. f,,'s.~~~~?ii~~~~~~~~~)I_~'~~'f4: ;Ui~t~~~jt~.:~: ~~I:~~t~rE.:""1 / c.;3~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c.I11?~~pqV~:~~~'~f6rf~~~~:;4:~_.~~_}~~t~,~" .;. ~'-.~ ).rtc' :.. ~, ' :.1 InstaUation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps .,$100.00 -..IV .:\~'\ Over 600 Amps or 1000 Volts see "B".lIliov_e.)~ '0' D. r Bri@.~bbGjj:!ii1~~<":;""';: "':Ck,!, "()"''',~'','''''' }'o," .' I ,.L~.', p_'-.-,"'-'~'.' t:!l:.~ ,.." ',. .;..' . \-:-\./1 :_'..,l.'t!..' .,', ~ .~..~l...l ..:' . "" ,..1' 7>' CiJ,:>' '" New Alteration or Ext~n'?perj>~~, ~<(o. ~.s.0 ~0 One Circuit ~0<:$ 0 'Q~ ro0 ~ ~'(\ 0 . 'Si4~ .,0(Co Each Additional ~t$~t/i\O ~O\)"'!"I;, v ~~0 ..Ii:."'"' q 0 0 ServiceorFJt>eni t 0~' .a-iS' C'<o,,,,0li.~w / ~ ~~'~ .~0'O r0~ "a'.\(Co V:n~0' ""~~ '_!l.t>"\. E. I'KfiSt~A i" "~~: ~'eea~";:[};f\ 'it " fIi'\;"E ;;~hi\iSif..tiori";1 [ '." {~~)~~: ~;~~~}~.;~~",~}, , Jl~ _.~ ~,. Pumportm~~-l.o "$'0 "$'0" $50.OQ Sign/OutIin~~~'~ ~'O~ ,/ $ 50.00 Limited Ene~tR~rfu.r' $ 25.0? Limited Energy/CS'mmercial $ 45.00 Minimum Electric Permit Inspection Fee Is 545.00 + Surcharges 4 t;STUB.w"'';:''';;;;'}''(i)'~~'~~O'''~' ...,.;.... '/i:!"""1 rJ/} 0 ~ 6 1\.:. _~.t,;t'~~~'.~.~~~z;i~~-';~ '~. '-'t-'; L;:""'{~. ~ri ~:' / c;r.. ~ 7% State Surcharge Ii .::...t- '-""" ':~~ ~ ~~ :::--~'= q;; , ~ ~~ '\ '\ Sham! DriveIT:VBuiIdiD.FormsIEIccbicaJ Permit AonHcatlon 1./l3.dnc Owners Signature: