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HomeMy WebLinkAboutPermit Electrical 1999-4-2 ",if, folloWihQ prOject as su~mitted has the following "J,lfI\), aha does not require specific land use ",pprOlllal 225 FIFTH STREET Zoning L j:) (L- SPRINGFIELD, OREGON 9T4~7 q -d-"') "'\ INSPECTION REQUEST: 7'~~!U~.1e~9Signature ckvu OFFICE: 726-3759 1. LOCATION OF INSTALLATION c:Jf.pL// Ca_st/-e .j)~/I/-e /~L~~OO JOB DESCRIPTION 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 ONLYB. Electrical Contractor C/Al(t~ c.M(f2,'C Address rOq b PIll ~1 City ~D{ll Phone .c;ol-Lf9/S- -If Supervisor License Number 4. ')0 ) S; Expiration Date /6/0;/ 01 , . I C. Constr Con tr. Number i 3 f).13 OJ Cc..B Expiration Date );:)... -I L{ .... 0 0 Signature of superVisi~.ee/c. ty iCci"an ~~ D('Yff/~~- Owners Name . (/ IN,) (jjrJ d(~ / . 'Address 2& c( r.(f1Slf.{ __ .f)~( vL CitySpLillietkhone' .' OWER INdALLATION The installation is being made on property I own which is not intended for sale, lease or ren t . Owners Signature: f .. DATE~------~15=~tL('~-~----------~ RECEIPT #: . I - [J-<...!.-L:S 'q RECEIVED BY: 1'\.---r'fYT7V~ ELECTRICAL PERMIT APPLICATION City job Number q'l / S~c( 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items CCst Sum 1000 sq.ft. or~less $ 8~.00 Each additiona~_~OO f . "1 sq. t or portlo'n,l I , thereof, . "";""("- ',." $ IS. 00 Eachll;Maf~uf' d Home. or ;'., ",,--,' ~-'.j....... Mod~lafDw.elling ':;- , ':' .'. " ,- , ' "',L'!~ Service or Feeq"e,;:-, 1"1!~;)n,,,,"$ 40.,Q9 V", -'Ift::::DF. -if Services or Feeders OR Installation, Alterations or Relocation: 200 amps or less -L $ 50.00 t 50,00 ~2rTE\ltirto~oW9~rf1IMw~rE;~J:;-';t5 YO~1.~g: g~ lW D#?L~~S rgo~P!t )6~hlffsOI C:~UII ~11!%. 00 , 5it~~~rre~M1l~1 }8~~sult:::I em: sesoo<<h 00 1~lecOb~QOb~WO through VAN ~52i0~(!)-. 00 0(j90. 'you may obtain copies or tne rules by Teil\~8iil<.i~ C~ij~.i(~eb1theFle~Mle rngm1flltti16rOrE'lgbreWaltly~tijJeaIN~iIloca t i on Center is 1-800-332-2344). 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see' "B" above D. Branch Circuits ,. New, Alteration or Extension Per Panel . " I , . One Circuit $ 35.00 ., --.; Each Additional Circuit or with Service or Feeder Permit __,C;- $ ~~ . 00 /v ,. I E. Miscellaneous (Service/feeder not included) . -Each installation Pump or irrigation $40.00 Sign/Outline Lighting $ 4u.00 Limited Energy/Res $20.00 Limited Energy/Comm $ %.00 5. SUBTOTAL OF ABOVE Jj (/10,00 5% State Surcharge - ~ 'll U 3% Administrative Fee l~ A Q TOTAL (lrI _ '(3 t"L ~,-c-