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HomeMy WebLinkAboutPermit Electrical 1999-7-13 (3) . ' g, and do mitred h approval, es not "'qui", spe afs the IOIlOWing c, 'c land use Zonlng_ t.--i-/ I Dare - 'kit}., q ~ '/. q 225 FIFTH STREET lid Siflnature . ffi SPRINGFIELD, OREGON 97477 LJ INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INST~TION /14 Ii ZU~ 5+. A. LEGAL DESOOPTION 17032. 7 () p /po ,,/0 7 . /t/ ~/ rnV1 {.J-.r./..,.+..i..Jz...vt '. JOB DESCRIfTION . /d I VHJ <;}~ I't-AA {'(!'-(." , f SuperviS0r License Number E"pirati:)n Date 10/1/01 Constr ()ntr. Number 104929 - ELECTRICAL PERMIT APPLICATION Ci ty Job Number q<;r / z.. / t{ 3. COMPLETE FEE SCHEDULE BELOY Ney Residential-Single or Multi-Family per'dyelling unit. Service Included: Items Cos t Su 1000 sq.ft. or less Each additional 500 sq. ft or portion Permits are non-transferable and expire thereof if york is not started yithin 180 days Each Manuf'd Home, or of issuance or if york is suspended for Modular'Dyelling 180 days. Service 9qLlifllll7ljl.no ATfENTION:Oregon law r ~n Utility 2. CONT:~CTOR INSTALLATION ONLY f01l0WWI~ad5!}~le~l!'e~qr~=ffMh '''lotifu;~lionCenfm'Snlp:J.%~~~~ eMions Electric"l Contractor JB Electnc;:,c<'>IJ'Y 52-001(()()~Y b '" v. .. ,0; obtain copies 01 he wles Y Address 4065 W. 11 th, 1118 0090: you maY~~rAl1lpta:O\frEll~!;,l!ho~e J{ "o,I",gtheC l& wUtijay~fl~~w~n Ci ty Euqene Phone 687_577@umber6~~~~ glt~WS3ll'&~' amps u1 amps to 1000 amps 38728 Over 1000 amps/volts Reconnect'Only $ 85.00 $ 15.00 ,$ 40.00 $ 50.00 2:fxL/ $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Expirati.)n Date 3/14/00 Si"''"1\m:'::: D Oyners (ie-C....- 5 ,(~rq G-b~ . Address C _"""'. ):. 1'1lfu 0 tn.. Ci ty ~~ W PhoneSil..!;.. =? 13.. 't OYNER INSTALLATION The installation is being made on property I oyn Yhich is not intended for sale, lease or rent. ' Owners Signature: DA~E~---------~~t-;rf'f---------------- RECEIPT II: /J (? Ip n'1 t RECEIVED BY: t:JI U..J 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " New! Alteration or Extension Per Panel one~Circuit $ 35.00 Each Additional Circuit or yith Service or Feeder Permit ~ $ 2.00 ~ not include Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 /'" ....::2kt1 --- I if ~(;/'" III - ty ~~g'