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HomeMy WebLinkAboutPermit Electrical 1999-2-11 The following project as submitted has the following zoning, and does not require specific land use approval, Zoning 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 'PLO Ol - 11- 9 CJ 225 FIFTH STREET SPRINGFIELD, OREGON 971.fJJ.e INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 Authorized Signature ~ 3. 1. 'LOCATION OF INSTALLATION :~~~ C-ENT~NN'flL 8lvI'\ A. . ~~~liI/7 03.~ 3'1 O(,;>Ql) t-\A I~~ r~g~reqUlreS YOU to ~' ". eo oy the Oregon Utility () JOBin ~~ter. Those rules are s,et fortil ' "€pie ,m!Jl0~~fuJF\?"()01- .., , '. ou m y obtain copies of the rul,es b t Perfil tsaYelfrfl{JntUtt:entm-e~~~t~~;fthfee ~ if workil~~fGIL~@ta~tOPifh ~ i~s of issuance o1Ca.rlteJrlI3r1r8~e.~d2!~~ e f '<4f'8P --.'----.1,e.o days. ' .. ".., , ~"..' 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Add.ress City . Phone Supervisor License Number \ 016 'PS Expiration Date \D/C\/O \ ( I Constr Contr,. Number Expiration Date Signature of Supervising Electrician Nr4-{~ ~ J.me ""f R, uf' ~ Q~ ~d-cr, \\1:), <11'l Address lR'qO J,J, ~1.~ City Sffl~tJl~~IO Phone (("'-1-(,,315 OVNER INSTALLATION The installation is being made on property I own which- is not intended for sale, lease or rent. " OvnersJsignature: f'-J1~ 11 ).b, . __ ~-, --~' -------------,------------------- 'QAT~: ~/ / /1 7 ' lllil,~~ ':'" 0 3 ?- qJI--J ' . RE{;~IVED BY: fl. I7i (y 'aJ1l1flu IHiECTRICAL PERMIT APPLICATION City Job Number~q Od- / ) COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: NOTICE: Items ~~~~ =ddi~~~~~~~ S~XP1R~T~~~E hUNK sq. f t 0 ~lptw~ij1b7rt:D UNDER THIS PERMIT IS NOT ,thereof COMMENCED t19 ,~ 1\3A~D~.mFO Each Manu~t'~.?,/ !fPD,1~., or ,. .....: '" . . , M Modular Dwelling" PE!"1iQU Service or Feeder Cost Sum $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 40-~ C. Temporary Services or Feeders Installation" Alteration or Relocation 200 amps or 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 One prcui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation ' $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ~ O~ 5% State Surcharge ~.~ 3% Adminis tra ti ve Fee - i. AD TOTAL '-'30 AO