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HomeMy WebLinkAboutPermit Electrical 1999-6-9 . .1 SPRINGFIELD The following project as submittad has the following zoning, and does not require specific land use approvaL Zoning 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwe11ing servoi'Cfcce.r; Feeder .' $, .Jt/O'r~Q N II l EXI'IR\:. Il- \ !'It. 2. CONTRACTOR INSTALLATION ONLY .B. sery;i\~;SEob\IF~~hs il-:lISI'ERMITISNOi ~ I [:/ :Vns~'l-M.~\:5ri.f?.Q:DlA\lltef1a.tlons'NEDrOR EAd1edcretsrsicayt;nhOr)a;tor')7 . ~~ '/-A':~ 1-.. (~'~~6MM~~egDOR\S"B"NDU YI/ (ft.I, / 200 ~,,!p'S\~J()Jl'e'S~HIOD, $ 50.00 1 . _ / J ;r-. /) /V 201 amps to 400 amps $ 60.00 City_( ,r-t'(W..L/-I- Phone '7 7,/-,/'2 c/( 401 amps to 600 amps $100.00 601 amps to' 1000 amps $130.00 Supervi"or License Number Lj,( t:10') Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 Expiration Date )0- /- 00 Constr Contr. Number /7;;2 y9 Expiration Date ~~-/ S'~~;':;;~'2:lg "'0"'0'" Owne'r s Name A V eke. .0....-0--- . Address Po!5,o"L \O;,D City C{'~~ Phone q-S'-l~qq 6'0 225 FIITH STREET Date SPRINGFIELD, OREGON 2l6llrl'zed Signature INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. 'IlCATI~ O~IfiSTALLATION L/72C/ ('t-,(,.:> /~A 1/ ! LEGAL DESCRIPTION JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if. work is suspended for 180 days. OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners. Signature: --------------------------------------- DATE: RECEIPT ll: RECEIVED BY: ELECTRICAL PERKIT APPLICATION q!y, J~b 'Nwrl~~~~WitG 16 q;; ~ B 1 . - ',~'" 0 oleO oy l\ie, ~ e sel 101' . 3 .1(1\ COKPl:.'ET~ \'\f~ETS()HEDtiflE ~M-OOi ,<)lilieatlQ." ~;, _00'0 111l0ugl'l U e rules b, .A. d'!eW9ReSi'(IE;tb\iilkdliilgj>tl\i~\io"e \)\~!ll\t~I~Fa'h!!M~;I\~ld~i~ iCJJ\i\::t:.. . Ser,v,l'c'i!lO'rncIiiru.Q.; Ul\l\l~ NQ . v..... ~ neu~' "'0\11\ . ~1Ir(1\i8"Of I , , '.^" """ ',1 terns Cos t Sum . ~ ..."-' $ 85.00 es $ 15.00 I 5 C. Temporary Services or Feeders Instal1ation,.A1teration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600,amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see liB" above D. 'Branch Circuits " New, Alteration or Extension Per Panel One Circuit Each Addi t ional Circuit or with Service or Feeder Permit $ 35.00 $ 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. I 0 /I. 00 SUBTOTAL OF ABOVE ~ 7% State Surcharge 7 .~ 3% Administrative Fee 7 ~ TOTAL ,,0.. """" . . , Cj ,- - ;:::;::@ -rl--'" I ~, 'T(V.Q./ YJ'-{).J'-.. ~ , ob J i fo.'J ~ ~'ci lo~ I {,/,-i4 P "./V-:zr ~ ( aP - -- --- ------