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HomeMy WebLinkAboutPermit Electrical 2004-4-27 ~ ., ~ -.....-. " ' . . " tI.f:Y?OF.Si:-~dNGFIEEb .6REdoj~r?:-':'-1. ':~::~;~~:i; . ..' .~'. , ~',' . "C', ."... - ,)." -.....,.. ...J '.-."r~~I. 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (~41")Ib1i6~~~~roiecl as submitted has the following ELECTRICAL PERMIT APPUCATiON:1/1 0 onlng. and does not require specific land use City Job Number (OMl-CTOl{ -Oct:)"5 J Date ' 'Z 7 0"1 approval., _ ., Zoning Lt'> rZ:. 1. 1!i:QCAiioN'oliNsTfl'?tA1ioN,:~.',:;tfJlf 3. ":'cOMiiETEFEi~eh':;';;Z~ .8ibC~:';""i:1;~.:&4;r(J'.a', ,:;;: ~7" '~~~'->;::;"tC"r:r;;"-' ....''''"".,'"''.''''''..0.(.'- 'i\ltiho~1Z~d's;'9~;;I~r~-"~' .C=-"-;;\ff~ Electrical Contractor QuJ~X""; \: I "A G\eC:..\('C:><\i~S 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 Address 9.". f),D)< yC\SLI(( ",-,>\~:I,~ 40lAmpst0600Amps $125.00 ,,~ . \\.~\ .A ",\~e ~ v ,\0\601 Amps to 1000 Amps $163.00 City eLL<\,. CJ 7l./u'-j Phone LI % lj:. {.l,'\5;;1'~e 'i>e\;OOver 1000 AmpsNolts $375.00 ~ \7>' ~0 --:\0""()-\~ '?J'i -.>\dte~onnect Only $ 50.00 0~0 '0'\ ~>V O~ e ~ ~0 ..o~ 0~ e.;0,(i!;' tI. ~ <>'(,'<0'''"99Ji'~' '-.'Ie".' .,0;"," "",,"";'. ,."\" -"" "l;;''''j'';q".r.t~:;iF'''' .,. Supervisor License Number ,,~; \'~'" c<:<C O>'~ 0 "01\0C.~~Temporary Senices or Feeders..,;' .':': ,;\!.~\ ",.,l~i;\1'~~i_", ~j,'J!>'~ ~~' . W . .= '" ~\v>~'''''_'''''''''''.\_H''y._,.r .~.._~~,~...,.t"'_~,_"'3""'~>!l:,,,,":.'~,,'_"~'0l\~ <,~ 0",7>- ~0" ,r::,'" 'vo~,-.~e ~O Expil1ltion Dale It~( I, fO$/0~,.I:lI:l,'~(\'N.O\0',.,:~{\'\ ~~~"'lllstaUation. Alteration or Relocation ~v :I,\V ),J- 0- ,,^- f);r, ,\0 .~v'b' ~'l: 0'\ :l,e~' (:b0" n.~ 200 Amps or less $ 50,00 Constr. Contr. Num~)'Il'~,l:.('t~.(",f5, c,e'C' O~e 000" 201 Amps to 400 Amps $ 69,00 7~v91:l' ~(\~~'o~~:':'" 401 Amps to 600 Amps $100.00 Expiration Date (" ;Q,'?; /,!ilt{._r;>~ \I, " ~,~ ~~er600 Amps or 10?0 yo}ts ~~~"ab?ve. .. ""',>:,,;,,,1 CM,\M~ ( =70 "t,-I,,~~~ 't6~;~~,~::~;,"~";'","",~;i;;;'T,t~K~ ~~..(\lId==,.~-....,,"-_..,,-_.,,~...._-,....,.. "'...,~ u.lO City ~e Phone Pump or irrigatioo $ 50,00 ..... Sign/Outline Lighting $ 50.00 Limited EoergylResidential $ 25.00 Limited Energy/Commercial I $ 45.00 LEGAL DESCRIPTION 1703 '2343 JOB DESCRIPTION" Jig (JO La....! Vdl~ It' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, ~":..'.~.L.{~:;...,''''.J.o:-': ',I ~"';l"-: ;'-, .".:"{,: ;:-:'.......:\".,:--.(<<',;.:... .COl'vTRACTOR'INSTALLATION ONix 2. ~-_'~~~oi~~l~tl,;..:. ""-';"_~' ..:i."_,,,,-'.J.'~1-.l..~~.ij OWNER INSTALLATION The installation is being made 00 property I own which is not intended for sale, lease or rent. Owners Signature: /.. Inspection Request: 726-3769 It''V.l.~''':'''','-f'~;''''''-:''',' -i~.1>;.!::'''':~. :;;)f;:!$i'~:J: ~v.;.~" ::- ,;'''';'''' -\..f~.i;:~I;~';;;;:" -::!..'t.:';.r.:.l~~. - A, ',New:ResidentiaI"': SiilgIe or'Multi-Family pcrd,veIJii1furut.",~, .?~'_~...\i.t>?1_.,..~:.., . .">,,,:,,~.',"h..,","'~""::'~:'_~u..:..~.'." ".' -.:., ....., "''''A~',Jt..........'\:,\(..L'"\,~\(j..~",..,,~~~'\;: 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 $50.00 B. :~'~~i~;i~:s.ri/ie~d;i~:-:)~;j:~~;ii~~,~IAI;:;~'ii61J~~~1~i1~Wf~ -:....w.........,~;!.-:..'.,'., ....,. ~.::... "'.;.~\.;.:." ,;,'~L:-'~'-:,. 4......~~;.;~~~~~~ 'IS- Minimum Electric Permit Inspection Fee i$ $45.00 + Surcharges "'OS. " ~".-.If'- ... -......."' .c;;..:_U~.j.' .. ,~. '__A~. . ~ 4 ';:siJiJfOTAI;OFA1ijjVE~' .,,', , " <;; , ',.,''.. . :tid: .rt?f~'. _ ~';;;:"M;;:ij,.. ~,~'~~;':,a;.~~:::-~';;~f':' :: ... ?>:;..:}'~~ t.{~ -S/J '-/s"c 5'2-3E- 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:YBuilding Forms/Electrical Permit Application l~3.doc