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HomeMy WebLinkAboutPermit Electrical 1999-12-30 02/11/98 10:22 '8'503 726 3689 ! "( ! 0", ',,' '~ SPFD DEV. SER. ....;...:', ~. ..( tal 001 The following project as submi,tted has the fol/owing zoning, and does not require specific land use approval. i , L 0 YL----- Zoning /2 -3 6 ~q '1 ~ 225 FIFTH STREET Date SPRINGFIELD, OREGoN 97{l.~ii1orized Signature, INSPECTION REQUEST: 726-3769 OFFICE: 72~-3759 !tECTRICAL PERKIT APPLICATION' Ci ty Job Number 99/-5"'27 3. COHPLETk FEE S"ar.ulJLE ,pELOV 1. LOCATION OF INSTALLATION ~~~ Itt" ~~~~~~~ . A. LEGAL DESCRIPTION t:b1~??Y'7". ~-6"~ . - ,. i , JOjl DESCRIPTION, ! , '??~0-C~/~",~ ,;f(~1<: ~ , i Permits are non-transferable an9 expire if work is not started within 180 days " of issuance Jliif work is suspepded for 180 days. j I 2. CONTRAcrOR INSTALLATION ONLY , ,B. Electrical conlraclO~ ~g€dP ~ Add ,,\ I ~<t- I f\~ ~\:::::i ressc:::f1 'J~~ ~. _ I i,': Ci ty't;" <>;\{Y'C Phon~:&~) , SupervisoY License Number :A...~~ Expiration Date )()JO'/C!>I ;, I' I Constr Contr. 'Number '11 dS'a- ~d-JD~ /6 ) , - i Signature of S~ising Electrician Qp~~~~: o{t:s Name#~ 4:v;;~~i'.~. Address I, I, Expiration Date . City Phone OWER INSTALLATION The installation is being made ~n property I own which is not intended for sale, lease or rent. Owners Signature: DATF.~2~IS?5tGJ'!--- " / ----------- l\t.\,t.J.1"L' 'M: ~p q/~XI . RECEIVED 'BY: n ~ I iU(J/JC(..t'J ( ') Ne~ Res'idential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each add i t i onal 500 ' sq. ft or portion thereof $ 15.00 Each Kanuf'd Home. or Modular 'Dwelling Service or Feeder $ 40.00 200 amps"ar less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits $ 50.00 $ 60.00 $100.0Q $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation~ Alteration or Relocation Ser~ices or Feeders Installation, Alterations or Relocation: 200 amps or less 201'amps to 400 amps 401 amps to,600 amps 601 amps to 1000 amps 9ver 1000 amps/volts Reconnect Only S 40.00 S 55.00 $ 80.00 volts see "B" above .' Nev, Alteration or Extension Per Panel $ 3S. 00' -::j>"!5:" One Circuit , " Each Addi tional Circuit or with Service or Feeder Permit ~ I $ 2.00 l/ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting. $ 40.00 Limited Energy/Res S 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE "'3" ,.oz> "Jr4State Surcharge '? .?~ 3% Administrative Fee' 1 _ {7 TOTAL ~2 . '9~