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HomeMy WebLinkAboutPermit Electrical 2002-7-23 225 FIFTH STREET :h~/Ol/owingprojecta ELECTRICAL PERMIT APPLICATION SPRINGFIEW, OREGON 9741Xrn~. and does not ~:ubmiHedhasthetol ' INSPECTION REQUEST: 726-3~g'9 qUl~ecifjc land ~~,'{'ey Job Number () 2. -OO'-{Lf7 ~ 0 I OFFICE: 726-3759 20ning_ I ()f ~ Date ;2.3 3 1. LOCATION OF INSTALI,.b,1.'J;.~~, -0"2.- 824_Wav i2,,f~1L 'jC>JcwHrure(JIo-t I LEGAL DESCRIPTION /703. 29../'"7" ///00 JOB DESCRIPTION Security SYStem Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 225 FIFTH STREET SPRINGFIELD, OR 97477 154/) 726.3753 ' FAX (547) 726-3689 f:OMPLBTE FEE S".......ua.B BELOII dential-Single or ti-Family per dwelling unit. Serv ce Included: Items Cost Sum 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof . Each Hanuf'd Home or Modular Dvelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical ContractorSecuMtyPlusAlann&Protection or Relocation: Address 2260 SandY Dr Ci ty EUQene Phone 687-&474 3012JLE Supervisor License Number ~7r.1~ Expiration Date 10-01-02 Constr Contr. Number 125673 Expiration Date 10-13-02 / Si~~~~ectrician Owners Name f' I / Character Homes Address 835 Sand Ave, City Phone 345-9395 Euaene OIlNER INSTALLATION The installation is being made on property r own which is not intended for sale, lease or rent. 190:~3Iovners Signature: : 39N~H8 SL'1S $ Z:a81~ IWH 200Z ~G-~Rf~~~v~------------------------------ L 100100D~!B:Q~IHlJ I RECEIPT I: RECEIVED BY: 200 amps or less S 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only ~ $ 40.00 C. Temporary servic~~~~~)rs rnstanatio1n, i\~t~~~~r Relocation 200 Imp. ~ 'ia ~~~~~ $ 40.00 ~ ~ ~lIlpS $ 55.00 ~'\~ ~y~~ amps ,\'o $ 80.00 11 v,.~ ~ ~l\.~';k 1000 VO?ts:ii's'e~, "B" above '\" i\t-~~ ~~'C" ~0'" ~'V'~,o<' ~. D~~~~~CUi ts <.0~ ~0~0 0",0 <:?':) '0'\ ~\> "" \'ij \~~ 00 f':J~ C?J'::> ~0<b ~\), Al tera t i~n':' ~l\~E~~~,:t~'P~~~8Pel . ,.O<.'li ",0~~0",0 O~~ f':J ~ ~ r>01.~# One CHcul't ~,o'<' '!f :.0 ",'1$0<_.00 Each All1lYt-!'Oni\l'<" ~':) c,o'< 0~"~~~' Ci l'ci.(ili ,~~rcGi.th')<:IS~f'v~~ 'V~ 'J,"J" o~~e.e'dep"!i.aFnii tP~0<"_(.~.,'~'l>~$ 2.00 ,0 .~'v~ C?J'::> (i'~'" 0~ O<.0'iJ(;:,CS' E. MiSCEttl~~~ -.<-sg~l~e/~eeder not included) -Eacb~ifi~:ta, Jilt.ton ~0<"'" Pump of Pi ICPLj!!'fien':' $ 40.00 Sign/Outli~e~iigWting $ 40.00 Limited Energy/Res ; $ 20.00 Zo Limited Energy/Comm $ 36.00 'is 3f) .>OQ 5/7' 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL