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HomeMy WebLinkAboutPermit Electrical 1999-10-11 The following project as submitted has the following zoning, and does not require specific land use 225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning INSPECTION REQUEST: Jlt~-3769 OFFICE: 726-3759 Authorized Signature (. LOCATIO~ OF INSTALLATION 7J1? 30Th I- Ha. n I :;ZC:; L/ "*3 0' . .p/: I . -,' LEGAL DESCRIPTION J7"d2.~/~c:J'- ~.7o>O r JOB DESCRIPTION tJ.~odw;1/ TN"D' e..h/Id 7)evelfl' ~fr 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 ONLY . Elec trical Contractor I/-/ert V; l"t'ct. Address /'1 '10 c-2Sfh ~)r-, Ci ty 4 n'l1cri,'dd- Phone 1'17" :[2/3 J q71(11 Supervisor License Number Expiration Date Constr Contr. Numbe~ Expiration Date Signature of Supervising Electrician Owners Name (''TI9(')dth/11 TND. LANE ~o, Address fl6"S ':;ene(!.d. Ci ty F 1/c':,e:?J1 to t:j?yc,2 Phone3rS -/cf'O f -'() } OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. City Job Number q~ /d9~' . - 3. G~TE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq.ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular Dwelling Service or Feeder ,$ 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 C. Temporary Services or Feeders Installation, Alteration or Relocation . .$ 200 amps"oT less I $ 40.00 '10/) t) 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" ahove D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $ 40.00 $ 40.00 $ 20.00 $ 36.00 5~ SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL '1/). "e> 2.~ xJ_?~ --If t./ 4.- tnJ