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HomeMy WebLinkAboutPermit Electrical 1999-1-14 ~ --- The fOl/owing pro'ect " 2(Jrllng, and doe~ no~~eSqU~mitted has the fOl/owing approval U1re specific land Use ZOning _ .J...Orz- 9747fate ) ~Jlf- '1( 726B3t]l€)9zed Signature 225 FIITH STREET . . . ,SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 L LOCATION OF IN~TAL~TIO~ //16 ~ LEGAL DESCRIPTION /8/7 . ,tJ.. IIO~ ::JI~ L-jq (O,(J))~' . ra on law reqUlresyuu Lv , ATTEN1lQN~p{l:lW~J;,egon IJtility , ~ /J t1 follow r.U\es ~ .. ThMA rul$ a~O_RR ~ .. NOtITlGC1UVII O~:1t~. ' h OAR 9b~.UU \. ' in cwrla~~~OJr~~~~~~titthmM~ ~Md expire OOg[l~~YR'"Ho.iNPli.ttf\@qe~pbbliltt 180, days a:BIlllli!ltfti.h~6b'[ l1tuff~ylNdtltics.tispended for nUiB1bata9'"~pe. 1re~~0_332-2344). Center IS -, , 2. CONTRACTOR INSTALLATION ONLYB. Electrical Contractor ~~~ :l~~'n Phone 7ZJ1-15"ao ftf~ -s (2-( 9'r 6"5(37 Bl5 (yre; Address /oLf'l. City ~~ S . /.L' N b upervlsor lcense urn er Expiration Date Constr Contr, Number Expiration Date 'Signatur~.I fA~ s~upeervising Electrician ~~. , II,' .,-- -- D. Owners Name C'_ttlIJdNv'j" ~~ Address lllLP Urt~Lo.-Q. P;lu~ ~ Ci ty 2rL (J ('~ " Phone 747 -7.JJ. ~ ~Q~NSTALLATION The installati<?n is being made on property.1 own whi~h is not intended for sate, lease or rent. Ovners Signature: ------------~--7T---------------------- DATE: I/"I L_'" '1 ~ '., RECEIPT *: t S ~S& () . ' RECEIVED BY: r 'I . (V\t1.r ~JA> ELECTRICAL PERMIT APPLICATION C;' '-.1 Job Number q OJ 00 ~ I 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi~Family per dwelling unit. Service Included: CEo Items .eRst NOT\, . ~ XPIRE If il-lE WOR ~AA~ fS.!Bl\~m .s\Ml4.~ss -f\b~'i Ic$N~' 00 Eacfl addtct4.ow.rot~m~IS ~L-.... v sqT\-\~~\ <ffJ por~o~~NOONEO fOR . tn~Jf~.Q,E\CED OR \, t\ $ 15.00 Each Manuf~'d)fH(jme'"'J.or :'\ a\.I':\1 "1 Fl i t..;.~ ~r., ' "'. Modular Dwelllng Service or Feeder .$ 40.00 Sum 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' lOT less 201 amps to'400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above Branch Circuits ,. New, Alteration or Exterision Per Panel $ 35.00 3 S . c:JD , I One Circuit Each Additional Circuit or with Service or Feeder Permit 2- 2.00 4,0-0 $ . E. Miscellaneous '(Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 40.00 40.00 20.00 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ U 9 _ 0-"0 -<; 2, / J...