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HomeMy WebLinkAboutPermit Electrical 2002-7-16 225 FIFfH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 ' , , City Job Numhe",-,,,,o.2.-o 0 '25'fZ-O I . . s the"fon OFFICE: 726-3759 , I fo'~c\aSSUbrnltledtl~iC land use itletol)owlOg p~: 6l1D~~'F'EE SCHEDULE BELOW 'ganddoeo /? I LOCATIONOFINSTALLATION'on1n, :, 'J 'p,,- ~ \ >fl.' _ I/' 'l'I0 approva\., vI" n 4' ~ ~ W"rLL! '. - iOfUp(g. Nl.!l. Rt:SHlcntial-Sin(Jle \I ..0 a- amil)' per dwelling unit. 9 aat.e , ........;uucll: /0 ' 0 S-d\lQ.liZed SignalUre C. Temporary SerYices or Feeders Installation, Alteration or Relocation 200 amps or less '<00 56;~ 201 amps 10 400 amps ~~~~:~o -.,.Over40110600amps ~~~ ~~OO,OO= Over 600 amps or ~OO\~J..':f:,~~i'\) '<~ "B" above, '*'~\,\, '\~ ~'\)'\)~ D. Bran~~~~~~ \,,'\)<.:.~ ~<:o~ Owner, Name I~~~ ~ 'tdi.'r.' ~~lll~~erpanel ~'- l:o ' 'S1:" ~'\) ~ ~,~,\:j: ~~(;J, ~ ~~r Address '2-55':? t:.a..,..." ~ - -~ one~~~~'.O~'\)~ ~ $43,00 _ ~ C' '')'1C ' (;J.~,\ '" ,~e"''l D\~\\'l ~ CilY' bone II ~ -;to. I b "l- Each A/lltIlional Circuil\Qf-~~i~~serv~g:\O~ ". orFeederPermilo~\\l.'>ll eO~ ~~.$l(?j,1)~ OWNER INSTALLATION .O~eg o'O'l\~ ~~\e~l>-~':!l"-~0'!>'O - The installation is being made on E. l\IiSCellanebl\~~'~el~i~c/feCflj;lr ubi include~l~\'o^e ,,,, .:G- \" 0'1>'0 ~\:' ~ ". ~ , property I 0\\'0 which is not intended ,,\-"EacU\Ulst Ili!lilln:\()<<'~ f$\0"'0 \0\0~,~'l>~0 for sale, lease or rent. t' ~~,yi\lg,'(li'i~i~~iil~. i>>~ CO 0"~~'l"'\O\~\~~O'OO_ \0 ~ig1\;>~y!n~ k~ljlr~~.~O\! D\~\'I~-$)OOO _ ~~~J11l?e.i\~6I'i,\y/%'S\e ~Q,O~ ~'?l?;- $2500_ \f~~Ji}c(t E~ei~.r~~ \,~\l(Y _ $4500 _ (l c~\\f' ~'O~ e~\'" l\Iinimum EI~\lt1ilP~el:rii'i't\!InSJlection Fee i, S45.00 + Surcbarges SO :g,so i.{tJO .s 7.,--0 . ~I. "I \...0 LEGAL DESCRIPTION 170523'-13 JOB DESCRIPTION ' \~~,__~~~f~ +-re;n~i1fJ?c non-tn~I~~e~- if work is no!started within 180 da'(s"c c::s- of issuance or if work is suspended for 180 days, 2, CONTRACTOR I~STALLATION ONL/ B. Elec 'ca{'Contractor / / / / City ""', 4e '. Constr Contr. Number ..~ .., \, Expiration Date ( Signature of ~uJlcJ"vising Electrician On'llers Signature: Ho,;i-3liiS';::>'~CJ '''1l\VI1 6 - ( ':,......!.\,.r , f)C; /S $ :' G:J~~I 1.i'!~' . :~;)OZ ~', 'f/ ::t21:"..l /)i661'}(1, m ,~r~'I;j~J - (../ ELWffiICAL PERMIT APPLICATION Items Cosl Sum 100Q sq,fl. or less Each additional 500 sq, ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder $106,00 $ 19,00 $ 50,00 Sen'iccs or Feeders Installation, Alterations or Relocation: 200 amps or less 20 I amps to 400 amps 40 I amps to 600 amps 601 amps to 1000 amps O,;er 1000 amps/volts Reconnect Only $ 63.00 $ 75,00 $125,00 $163.00 $375.00 $ 50.00 4. SUBTOTAL OF ABOVE 70/0 State Surcharge SIVO Administrative Fcc TOTAL