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HomeMy WebLinkAboutPermit Electrical 2001-9-24 The following project as submitted has the following 225 FIFTH STREET zoning, and doe. require specific ta"llfEtTRICAL PERMIT. !;ATION SPRINGFIELD, OREG<ffl~~~'17 , ~~ Q <;' 0 _ ~ I INSPECTION REQUEST: 726_31Wng '1/;t.t+/DI CityJobNumber 01-00 f { , OFFICE: 726-3759 Date Authorized Signature ~1 NlMllT "Tl;' FEE SCHEDULE BELOW I. LOCATION OF INST ALLA TION 2412 Ranch Drive A. LEGAL DESCRIPTION 170J Z'il.f 7., o r)-c:::, () JOB DESCRIPTION Service Change Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, 2, CONTRACTOR INSTALLATION ONLY Electrical Contractor JB ELECTRIC, INC. Address 4065 W 11th, #18 City Euaene. OR 97402 Phone 541.687.5770, Supervisor License Number 3872S Expiration Date 10/1/01 Constr ContI'. Number 37587C cca 104929 Expiration Date 10/1/01 3/14/04 , "....~W~OM (/ Owners Name David Foster -' Address: 2412 Ranch Drive City .Sorinafield OR Phone 988-4328 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: 190:CJ3IH5\1J : 39N\JH8 ~~'GL $ G:Q83~ lW\J 100G G1 d3S:31\JQ r899~JJ~##SN\J~_576 New Residential-Single or Multi-Family per dwelling unit. Service Included: Items 1000 sq, ftu or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder B, Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20 I amps to 400 amps 40 I amps to 600 amps 60 I amps to 1000 amps Over 1000 amps/volts Reconnect Only C, Temporary Services or Feeders 200 amps or less 20 I amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see B above D, Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E, Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting _ Limited EnergylRes Limited Energy/Comm 5, SUBTOTAL OF ABOVE MINIMUM 7"10 State Surcharge 8% Administrative Fee TOTAL Cost Sum $106.00 $ $19,00 $ $50,00 $ $63,00 $ 63,00 $75,00 $ $125,00 $ $163,00 $ $375,00 $ $50,00 $ $50,00 $ $69,00 $ $100.00 $ $ $43,00 $ $3.00 $ $50,00 $ $50.00 $ $25,00 $ $45,00 $ ...,00 $ $ $ 63.00 4.41 5,04 $ 72.45