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HomeMy WebLinkAboutPermit Electrical 2003-9-29 ~..< ,.< -;; .CrrY.OF.SPR-TGFlELD'OREGON......... , ...., , . .: ~. ': " ,'..' , . ,'....' _ , ~ . ._~ '" 1 . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX:l(~a.j~iec'assubmiltedhasthefottowin9 d Ot require specIfic land use ELECTRIC E IT APPLICATION zOning and oes n n I "7 I ,/. approvai J.. -r-.,f2- City Job Number Date ~I ~ Zoning Q'lL Q-!J..'1-()? L JJ.O€Aij;IiffMbRJNST;fiim'4tK@N7;(O:~, lV'$J 3. :~€@MPBEftr:E1lfEE~biJ&1ill:ii1illOn:Slt ~:.: . \' w~l JOB DESCRIPTION ~S.\ Permits are non-transferable and expire if \vo is not started within 180 days of issuance or if work is Suspended for 180 days. ltGoNiit~.;c ':lif:OmilisjtMii;lfJ!iiJjN/@NkY:.~:t 2. [t~".", "t:;~_::.,...:-;,,'1:-....:""1'~'I"'''':..,.~'!J,~~''tM...~'''',..':',,~ Electrical Contractor 1<0 bS, E...kr ,)".1 ( Address ~ I t;''S ()}.,~ () ~ City ~"(\O Phone C.~C-'E/Nlj Supervi~or .l-ice!l'\e Number ~ L/ 7 'f V s wU I ,\Ii:. I\LLEP.IRE IF 1 Ht wunK EXPiratMi\\~a~eE~~I~oco\..(~fI~fRMiT IS NOT ~~;~~~~~'L~ED v~~~t1NOj)NED FOR ' Constr. YGhlt."Nu r;rv (,., 5<' ANY 180 '1\1 .. Expiration Date ~ -f J ...... / 'I-oJ Signature of Supervising Electrician 7U- City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent Owners Signature: Inspection Request: 726-3769 A. ~€\f.~R~id~Htili~lSf~~.:lci61,l\i'~fu;i:ii1~i~;-z~r~d~rliiiri ''''~fii't~B~,C r~ ,. ,..~'.. "" .,-~ -,,:~~ ;;t.=i ,- J .,...gd.~._~...;;;:r..:~-,;"'~'~ ~fg7-' .J ... . .... . gL~ ~"~,,..., '.~ Service Included 1000 sq. fl. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling SelVice or . Feeder 5106.00 519.00 $50.00 .""'-....-, "-~"""'-.J;:.r~"'''''':l^'''''" ~3."Jilil'>.~!f.ii.'~~"'.'.'~.'" :>.,;i;'~).;!~,f,.:..q. .~""''".~.~.__ :;..,.~,.J.:'\'.'" .'~~. -.~ ..,:,r...v:.'...-r.:..,'i........ ~i;f:.:rf ~:f.,i1. B. ~~m~~J~~~li~~e~i.1~I'};1~!t~~~I,~~~t~:tg~J.W>;~:~lr~~\~~I.~9t~,~~;:':~ 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only 5 63.00 $ 75.00 $ 125.00 5163.00 $375.00 5 50.00 c. ~~~~~=~~;~~~;*~::;:~,:"P.i'..~1 InJfl\\2Wo~ub!t\~.ration.0'fR&gE.ati9illS are set fort Notificatl n Canlt". , 1ll'l 20fO~r-HI!)~~01.001 0 through OAR !S~O.m,.. 2B~5'P'Vl9J9Aa\JDJllllain caples ollhesrm!Oe I 4011:Wlfrl~~WM.'<!Plter. (Note: the tel~~_ . , OVelfl600lMtip~6~lMO~IlPJkU~lly, 'ci'J>tlflcatlon I'.'" "'"". '~ts;''''~;!(~ ~~:;r."".".." "",~1;1 D. ,'~E.4',~~,~~~~,~~;S:~~~~;>,_ :\.~'.(tt~~':-~-.~~Ji~~;t;p!.~.t:~,~~~~)~':~ 5 43.00 ~~ ~_a) New Alteration or Extension Per Pan..... One Circuit l Eaeh Additional Circuit or with Service or Feeder Permit ( 5 3.00 E. ~i:"1;,Wii8e~(\'"S1,,,fu\i..~_.,..tl,It.'\J'gI.~.rtfull~i\idid<)'f;'E~~-h~id~1~u.' :itl~~j ", ~". "'..~~.'<''''''',...'''.~l::;....:.;{.".,.......~-,re..~..-.....l.."..1:.'-''". ,t"......._.\!J Pump or inigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial 5 50.00 5 50.00 5 25.00 545.00 Minimum Electric Permit Inspection Fcc is 545.00 + Surcharges ~:..~:::~."'''',..~~..'''.,~....,~. ,M",~' /'''':r"~. "'.". ';'lI'" cD '4. ,'\Sl1TB;U<i!T:llli'(!)~Q.llP.tJ~'H..'t..>r:' ." .- ,..I .."i;I).f',.~~~X7,;~#lEl",I'<<;'..?t€f..~e;i.Jr.;ll .~q;,~.. . 7% State Surcharge 10% Administrative Fee TOTAL ~~.fJ~ Shared Drive(T:)/Building Fonns/Eloctrical Permit Applicalion 1-Q3.doc