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HomeMy WebLinkAboutPermit Electrical 1999-11-10 (2) The tOllowlng project as submitted has the following ZOllmy ana does not reqUIre specific land use , f' appruval. L m ~ Zoning .+ 9'f4f[r) \ \ - \ () -Cf9 7.Ui~1.6'S,gnature 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ~. 1./~~~6Nf)~n~ l-r LltJ~l~~ -7)1 (poD ELECTRICAL PERMIT APPLICATION City Job Number qq I.~ I I . COMPLETE FEE SCHEDULE BELOV A" New Residential-Single or Multi-Family per dwelling unit. Service Included: ('. \ JO~ DF;Sc;ij.IPJa<<~ Ofh' 1".' , .J .11 1000 sq. ft. or less _}.J ( ( (r 'uv [J I i rJ../ll t~Each addi tional 500 , sq. ft or portion Permits are <<on- ransferable and expire thereof if work is not started within 180 days Each Manuf'd Home, or of issuance or if work is suspended for Modular, 'Dwelling 180 days. Service or Feeder u ,$ 40.00 . -, ... ......'......~ 1_' -'1UIfl.:~VULltt Inllow rlllA~ 'lOCII)tP.('I b th 0' Services. lor ,Feeders v e reqon Ut..,ty InstaJl'HipI)l/ At.i,er~~tions~f If::> tnrtl, or <!\elocation: ' tiLl" U~, ,j~-O(11. -", ""'''' "t. . "'>".' ) ,. ..,rl:sby 200 Cc" '1" , , ,amps or ess' ,I, , I", $1-50~00 201 a'Mp'MtJi:;i" 400 llimps:; l-IIII,V l~c$fI6Pi"QO 401 amps 1:0,"600' amps' ':''''. "'44$,100. 00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical contractor~ Addre~s Vo lhO'i 1l..J$2.-. , City~ Supervisor License Number Phone~~~~' lltf()lS Expiration Date 10-01-[) I Constr Contr, Number ~\Lb~ Expiration Date ID~{)(-C{0 Si t re of Supervising Electrician . 12-A- Address Jq5 I nDn stn Ci t~H Phone -0-& -OIOD ob a~STALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DA~~~------~iT~--:--~--------- RECEIPT II: ~ RECEIVED B'y: Y "'1.I:J:M/L--.:.. " Items Cost Sum $ 85.00 $ 15.00 Temporary ~9Avices or Feeders Installat~oW~~ration or Relocation l-J/Sp : 200 amps~~~~~/~ $ 40.00 201 am~:A6' ..i!m~4L....- $ 55.00 Over 40 '116 1 I8lil _ '~~ ~XJ $ 80.00 Over 6 )af8}'v#JJf)f,~~lYfi~";'.B" above V04f- lJl(jA~~lsp~ 'rf~111 Branch Circui ts P~IY/OO 484NOa lTflvftr/S 91Y1f , . 'IV~DJ::. NOr New, Alteration or Extension Per~ne1 C. One Circuit Each Additional Circuit or with Servi~ or Feeder Permit -, ( ?b.oO fLQO $ 35.00 $ 2.00 not included) 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 $ $ $ $ c:.. ~ . () () ~ Y.T:!t