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HomeMy WebLinkAboutPermit Electrical 1999-11-8 . zon , approval. L.':"(I../ ATTE!\!TIC~':~'3g("1 :aw mGlIirGl:; 10l! to Zoning 1./ !,:;!!,:;;. >u'en 3d~iJ'(8Ci hy ihs Cr2jJ0!1 Ut!ity Dat9 1I-~-'1,\ "'lnIW",~'ir;:C~r. 1,.' ,-~_r,.'-,,,,' ':::~e'(nrth ~ inOAfi8,,2.00;-U~-::., 'illfi"Oi\1 ;.j~-t;01. Authorized Signature - - 't ' '0'" ~ 'U ~- "" 225 FIFTH STREET UU':'U, YOll may CJ 2m coys!:: I ','. I "El$CTIUCAL PERIIIT APPLICATION SPRINGFIELD OREGON 9747Ifal"r;';:lZCCc;_~-.(:~c,::(h...t::~fJ:-,:me . INSPECTION REQUEST: 726l1J3'7.69'!orth.: O:eOO:1 Utill\~ Notificatb1-ty Job Number ere; 1/ r'l . OFFICE: 726-3759 Center is 1-800.332-2344). 3. COMPLETE FEE SCHEDULE BELOY / / 200 amps or less $ 50.00 ./ 201 amps to 400 amps $ 60.00 ~hone 401 amps to 600 amps $100.00 NQ I ICE: 601 amps to 1000 amps $130.00 \Hj!5~\TSH'''Ll ~)(PIREIFTHEWOV\lk 1000 amps/volts $300.00 e AUTHORIZEDUNDERTHISPERMlTIS\\.upnnect Only $ 40.00 r.nMMENCEDORISABANUUNEe.FOlFemporary Services or Feeders Numb~l' _ _ "'A"."....,'''D Installation, Alteration or Relocation A/ln IOVU ".-.....'" . 1. LOCAJION OF lNST~LATION 351> VOIAe;f.+> " LEGAL DESCRIPTION /f&'i-l5t./'L 1)2f,150 JOB DE~CRI('~~~ I, 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 Electrical Contractor Address City Supervisor Expiration Expi~on Date Signature of Supervising Electrician Owners Name hlftr-(.V L-ELo.;jtr .0011 C.kf Phone '1 rg--tflOO Address 6575 <;'-j1,[1 j City OYNER INSTALLATION tion is being made on wn which is not intended ease or ren t. RECEIPT lI:~I/g RECEIVED BY~t~--: A., New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Sum 1000 sQ.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular .Dwelling Service or Feeder $ 85.00 $ 15.00 .$ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps' 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits . New, Alteration or Extension Per Panel One Circuit I $ 35.00 3;5 Each Additional Circuit or with service] (, or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 1/1, If} 7% State Surcharge,:> K7 3% Administrative Fee i 2~ TOTAL l/ ~ ./6