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HomeMy WebLinkAboutPermit Electrical 1999-8-5 The following project as submitted has the following lonlng, and does not require specific land use approval. Zoning I j),c '6'-~-c;"i ~ Dete 225 FIFTH STREET SPRINGFIELD, ORE~6Mlh ' :': INSPECTION REQUE . z6.:3769' ./ OFFICE: 726-37 Q ~ 1. LOCATION OF INSTALLATION /I;:;)n \:"c":~.,:...", LEGAL DESCRIPTION n 03 ;;;ti 3 J Db ~ cr-D JOB DESCRIPTION r:::.pyt..~r p C,." ,<;'~''''IO''''' r~h+~ Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY , Electrical contractor~ t:(Q~i~ Address ~?Jl&D ()). 1Jil!lft1~ Ci ty U- f31J(j ( Phone'R5- Zf./..IO Supervisor License Number ,1.JJIL/. <) Da te 10/1 /00 Expiration Constr Contr. Number GoLo~CfCJ Expiration Date ,/ I~Jqq " Sign~ure of,super~Elec~rician ~ ~ () ~ D. O"ne.~.._me-t'(1 \ev l~ rY\C"\b~ I", ~ ..---, -\-a..\e. Vi <;<-J Phone 1).,,1.1 - L'i/t:,~ Address \ \ ?-O City~ ;; OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: -------~----------------------------- DATE: \2>-5'- qq RECEIPT It: ()'<.S II. RECEIVED BY: h ~ {Y\ o..cl-\ 0. rL" ELECTRICAL PERHI~PLICATION City Job Number U( g I () f I 3. COMPLETE FEE SCHEDULE BELOl/ A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cas t Sum 1000 sq.ft. or less Each additional 500 sq, ft or portion thereof Each Manuf'd Home, or Modular 'Dvelling Service or Feeder $ 85.00 $ 15.00 ,$ 40.00 ,B. Services 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 Over 1000 amps/volts Re20nnec (' Only $ 50.00 60 ,C5iJ $ 60.00 $100.00 $130.00 $300.00 S 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 S 55.00 S 80.00 see flBIl above Branch Circuits .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ \(5V 2 . 00 d- E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm no t included) 5. SYBTOTAL OF ABOVE )i->% State Surcharge 3% Administrative Fee TOTAL S 40.00 $ 40.00 S 20.00 $ 36,00 5 ). , ()" ,~7, 'dU