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HomeMy WebLinkAboutPermit Electrical 2002-4-23 :' 225 FIFTH STREET -, , . , , ,SPRINGFIELD, OREGON 97477: INSPECTION REQUEST: 726,3769 . I OFFICE: 726-3759 .' ; : . , , . , I , _J I ELE.CAL PERMIT APPLICATION' ' ,., d)q_..n, -/. JRA~l!'Ol-000B712 CIty Job Number-W I ~.'),..2 ~~RT:APR 23 2002 AMT RECD:2 $ 56.35 CHANGE: CASHIER:003 -0 r !, -" ,:': [~ \ '- 3,' COMPLETE FEE SCHEDULE BELOW , , 1. LOCATION ~ INSTALLATION I ! .:.. ,1S""i\O fAr ~/nd/-r-'--' L~ " 'A: NewR9.i~ti;d-Singleor'" ,- , 0 ,~o~ulti-Family per dwclling unit. LEGAL DESCRIPTION "'~'S'\.,,(oo Servic Included: 17~J 2.7~2- ~O//~,\00'\{.'~ . ' ~<f:-" ~~0 ~OIJJESCIqPTION, . L . "<>4'..~,'0 8 (Mt IlYl 70 fJ/Y1)(1.IJvr .p ~f' ') J ~,'" 0 000 o/}:, s or portion Permits are non,transferable and !i;'fl"l~<>>'" ~' ereof if work is not'started within 18lf8~~.~' 'Ii'''' /l;; Each Manufd Home or of issuance or if work is suspendeW , ,,~.,,0 Modular Dwelling 180 days. 0 ""~ Service or Feeder r.'b-,e -:1.6 v 0"" 2. CONTRACTOR INSTALLATION O~Y Items Cost Sum $106.00 . ~ $ 19.00 $ 50.00 Address / // '\', / S ." ," ...'F" '!.""'u' "yVll :aw rsqUlres you to B. en'lces or-1 ccucrs ,- . h'\'itiin:ilISii 1l\iib%"lil,~~ Jpe Oregon Uliltly N<R~ioB!t~ionCenler. Those rules are set forth in OAR 952-001-~01 0 through OAR 952-QOh . O\iCilJlal6j\SlOFffiStlbtain copi,es of the ruI1!j,~:~0_ 2Q;BHifiJil;tllf4ilOralup.(Nole. ,t~e t~$'75,00 401rninp:Sftortlbu1frlfP!!lon Utility I\ivuf'''''ilP15,oo - 601 all\pr.t?;"fo06'h1.\?~I1-:'l12.2344). $163.00= Over IOqo amps/volts $375.00 Reconnect Only $ 50.00 , Electrical' Contractor City ~ " Constr / C. Temporary Sen'ices or Feeders Installation, Alteration or Relocation Signature of,.SuJlcl~'ising Electrician . , -ii- ~( 200 amps'Oi'l1:ss ~59,OO 20lamps to 406 affi'ps'dJ r;;t"'PI>, ""=$69:0'0' = '" Ov~r401 to 600 amps' . T",,' \ $100.00 Over600 amps or 1000 volts see "nB" abo,ye '.... --. ~.. v.... .J;-'\' PL ~:~;~-'. D. Branch Circuits New Alteration or Extension Per Panel . Expiration Date Owners Name T~A:5' ~ Address IC:4roW &UIAJ;NtL-r ~ I , Cit). ~/il Phonc 711-1~7 S On'e Circuit I $43,00 iJ- Each Additional Circuit or with SeIJ:lce or Feeder Pelfnit ~ $ 3.00 ~ E. Miscellaneous (Service/feeder not included) -Each installation . Pump 'or irfigation $50.00 Sign/Outline Lighting $50.00 ~wne Signature. ~ Limited EnergylRes $25,00 . /.:1 limIted Energy/Comm $45.00 1'-671A.1/1 (::"-1.. I./J j.- ~ j U'J \I ~linimul11 Electric Permit Inspcctio'n Fcc is' 545.0(-4) + surcl:':es 4. SUBTOTAL OF ABOVE 7% State Surcharge . ~ 2. 8% Administratiye Fce . ? .~3 OWNER INSTALLATION The installation is being made on ,'property I civn which is not int~nded for sale, lease or rent. TOTAL - $.'JJ