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HomeMy WebLinkAboutPermit Electrical 2003-3-20 ct as submitted has the following , ~il~ not require specific land use pro aT. ~ .f? Zoning l.f.~ ot_r.o~ _'_,' Da:'>M~~t~:_~~~~0~~ 3, i 'COMPU'TE FEKSc'fi'L..-vo:=;'Wl.unv " ", 1 '-- .__.-..:.. _""";1 ' ........~,....:._-',..:_,. "~ '< ! 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX:" a ELECTRICAL PERMIT APPliCATION City Job Number <.0."., Z.QOZ~ 0 I Z '10 Date .\\." I r::;----: ---- - '---~ . C. i:'Tt:mpol'~Q~ \~~r\'ic.~s.Jor teeders' ,,\..I-A- .\'u' .;.;3'-. '-.J' ",,- f''\''-'. ~- f,~\1 Installatio!l;;Alteration:or Relocation .~...r <..,~'-\ ,\ ~., ." '.J ".,\'~-. ,,200 6IDps~r,les~, " .'!o.-\" ~c0' , \ . ,,\: -,.\n .,. \: r. .u" ,.\'-' ",201 Affipsto'400Affips,'~':',c.:i,l.~ ,., l.. ,,' .' '.' \.' _, -.". ; \)\~- 101' Anips to 600 Amps ,..-::,' "l \ \. . ..,-,.I ".'"\ ~"".' ".' '\. \ .J.... . 0" .,\ .r ..... .. .J.,.,_ " ~ll' ''"' ',\,~;\.:"d..l _,..y~~?~~~: ~~ V~~s.s~~~"B"aboy~., _,- ~ f \" 1- ~..~ . 'f--BI7nncli_CucUlts ./,.' ': _ , . I'. .0"".. ,"" /"" ., ,.,V , ':\\' .,~.... . ~ C'J'-li--'. \\\,-"(New 'Alt~_ration or Extension Per Panel .J ~'7' " _' . v . '\' 'One Circuit ,~'" Each Additional Circuit or with Service or Feeder Permit E,! Mis~ellaneo~s (Se";ic~~~~~~~~~~ded) ':'Ea~h,',rlrstait~!i~;;;'l Pump or irrigation ~i-'?\~ '?~~~ IV (.~~ $ 50.00 SiJln/OutliIl5\"t1.~~~\S ~'0~'? $ 50,00 ~~"\~~~\l'~~~\*J~~ i-... $ 25,00 \~\'E~&d~~y)'e~ial $ 45,00 Mi~~~~~~~~:n~p~t~~ Fee,is !~5,OO + ~UrChargeS 4. i~TOTAL OF ABOVE, "'".. ,", i '16 ~ 7% State Surcharge ~ ~ 10% Administrative Fee '-I ~ TOTAL 5 -Z <05 r::-c:-::-- .... - ._, - - -- - --,-..' - - -- - ._-- I. I LOCATIONOFINSTALLAJ70N , -. -~~ . -., . <K fl.-I 9",/0,," 1'\"",1/ ,}..laM- LEGAL DESCRIPTION 170 "32.3LfJ 10 900 JOB DESCRIPTION Pre... W"re... Secu..v-;+'b- ~ Pre. PI/..Lm Va.c... Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Z, fCb~~croii-IlV~T~iLAfioz-r,oNi}J~ Electrical Contractor () ;lle.r s;( ;uU./ _,0 trClf\iC ", Address (], (), Pin 'J<.. L( \) S 4 '1 77'il>'-f City (;t.AJ.,: De, Phone 4H- '707 '( Supervisor License Number v Owners Name F"'LCtu.r-e, -B tI()~ Address p 0 ~nx 7'-1"25 City G~~ Phone 1'1'-1- U<OO OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ,.... .-- _. <........, ----,-...--..-- :-.---.......-........7-.--.--.--.--.- A.' New Residential :"Singlc or J\1ulti-F'lDtily per dwelling unit: 'J _" ~~..:....-.......-.a.iL;.._. n_ "".,._1 Service Included 1000 sq, ft. or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19,00 $50,00 f.... -~"':.-~:.-:...:.-;-'-'.,... ~>:'._.T.V._.._-...\,.-r. ..-;..;'t;~. .' ,'-J B. t Services !>f,Feeders 71nstanation~ Ali~I..~tjons'.~,r Re19Jcat~on':'t-'..1 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps ,Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375,00 $ 50,00 "T;-'~." . ,',,' . .,. ". ,\ $ 50.00 $ 69.00 $100.00 " ,'l $ 43.00 $ 3.00 Shared Drive(T:)/Building FormslElectrical Permit Application 1-03.doc