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HomeMy WebLinkAboutPermit Electrical 2002-2-27 " 225 FIFTH STREET ELE,,_.dCAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ..... .. .............. INSPECTION REQUEST:T~t9-'Prt999prOi&ct~s~ubm;tted ha$t~~~lIwJ~umbcr.3VtD- nf ~ - 0 ( OFFICE- 726-3759 zonmg. oesnotregl,Jirespecific land use . ..... approval i, ...... ..... .' " #Die:. 3. CONIPLETE FEE SCHEDULE BELOW 1. LOCATION OF INSTALLA~g ..... .' ..... . '-1 iA t(1,S"". ~f?'J7'; 2. ,....,.,.Ot7...C1'2..::Jf.:li Rcsidential-Single or /7' OJ... 32., ()o t'O tfj~~leo SIQnalure C?1 Multi-Family per dwelling unit. LEGAL DESCRIPTION ~er\'H:e Included: .7~~ L--tt,~ L.q"~ Items Cost SUI).1 JOB DESCRIPTION /'L,~ ~o........r.cA... _ IJ~ ~'(J"b"t..~ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $106.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. $ 19.00 $ 50.00 h ............. 00 2. CONTRACTOR INST ALLA TION ONLY B. SCI-vices or Feeders /) Installation, Alterations or Electrical" Contractor~ ~ ~ S::_-'lI!tuc:~~ Relocation: ;' AddressfJ:..I'J 6 c..v.z.~ ~ City ~ Phone :fc.,.l'-x, ;:! O~I<:1>>C; Supervisor~icense NUIl1,ber ~.:"-Jl- $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Expirationpate Constr Contr. Number ,6 O~ It. '7 0","" D. Branch Circuits ..' :" r\'I?P/-?" New Alter;,ti\~~:o~..Ext~)~"~- f~'> >''',~ lr- c:€ ' . ..:\''';:' ''0\' co, . ,\('>:\ . ~ "J q~e}2--uc . . ~\,()- ..C, C\ , ~h,' "" ,\ ~',,<,' "\,,\ \ ., c"':"::',~"./':l!\_f'-;~:'? Eafl\;4'dd,!ttou'fF~C~{~,mt:ti~'y!o/1~~ik'\' Oi'f~~9'~i:PGrwn'l_.,'(':~Q",>.:)'. ....' ,'/!.f' $ 3.00 _;;J'''{O'O. ~.,;, ,.):;. i"\'-"" ,c.- "J?}V!::J. ..r\ 1~, ." \....,~ ,..), ".... E. Miscemllil?9'$~~~wce~f~ede+not included) -Each~n.'v Pump~r irrigation $50.00 Sign/Outline Lighting $50.00 Limited Energy/Res $25.00 Limited Energy/Comm $45.00 City ~~vt''''e- _Phone ~ .r-fla:> OWNER INSTALLATION The installation is being made on property Io\vn which is not intended for sale, lease or rent. Owners Signature: Minimum Electric Permit Inspection Fee is $45.00 + Surchal'gcs ~~ .~t\\) _/h ~~\Y 4. SUBTOTAL OF ABOVE 7% State SUI'Charge 3,% Administratiyc Fee go- !;.c 0 7'10 TOTAL 83 -