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HomeMy WebLinkAboutPermit Electrical 1999-9-22 The following project as submitted has the N,.1.0ning, and does not require specific la 1..I;r~~!~, L (') R TH/S PERM Zoning , ~ AU /TSHAII t"Q~'::l.. _, T~/!{it:E ~~! ,(;uucAL PERMIT APPLICATION 97477 COM_~~4flI/;I1iiEt'l"H: 1'" ~:( 726-A7# OaR/SABAN' M~NOrob Number Cf'1 D3rJ..-f 1800AYPE DO Ol=i R/OO. 3. COMPLE'i'& FEE SCHEDULE BELOII LOCATION OF INSTALLATION /.ttf tJ</ In~0! J-h/A, ?7. LEGAL DESqIPTIOl}- ......,'\ I(,ov()1.. :J..q.." b :::> <60 U 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders ,I . Ins talla t ion, Al tera t ions Electrical contractor[}lnr1'd. 't/nll.,,,nt-VTor Relocation: Address fJ. tl, /{/J" '{/}~v ,200 amps or less 201 amps to 400 amps Phone~/,tlk"-().il7T 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. JOB DESCRIPTION S't,J'.ar Cb: <;;"/~'''''/ (;fl7/'-Inl ,on""-9<1 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. Ci ty ?, 1/(1 Nl/ Supervisor License Number 8.q~1 JLE EY-pi ra t ion Da te Iv I t}CJ Constr Contr, Nutber tj'if11/5 Expiration Date tI 100 ___ I A. Nev Residential-Single or Multi-Family per dvelling Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion . thereof Each Hanuf'd Home, or Hodular'Dvelling Service or Feeder uni t. Items Cost Sum $ 85.00 $ 15.00 ,$ 40.00 $ 50.00 $ 60.00 $100.00 ,- $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation _____ 200 amps' 'or less ~2~1 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Namek't",,;" ./omrlLArIurn IknuK Address 2:<'7 <;;-"'n~h <.InCA P'lAn (J One Circui t City . ~/Jr'n9/J,id p,hone...i.J"J' '''J1.i:fJ.L Each Additional Circuit or vith Service O\INER INSTALLATION,V17~'~'C:88'008' ~ s; ..';.dJ or Feeder Permi t UO!le:>!I!loN ^I!I!1n l!o6aJO aLll,lol Jaqwnu The ins talla t ion fils)lbe-ing,lI,!!ad,e'l\qnlalua~ ~u: JE;;,e:>Miscellaneous (Servicel feeder no t included property I ovp. ,i(roi..<;hJ i'1;1 r.OJ3!~I].J:<j,'.'sI.\;!! i\{~U; 'loA Otiii~ach in~ ta~la t ~on for sale, lease~gB-c.S'<PJ\;'Ou6noJulOlOO".I)U'GC;ti -JI;'Or.l:\mp or l~nga~lon, $ . ulJOnas aJe SalnJ 3soUl j'J.ua~J .lUljdJ'JoI'~lg~/Ou tl1ne Llgh t lng $ O\ll1ers Slgna tur~\~!I!ln u06aJO a41 iiq paidope ;alnJ M()1I0~~m~ ted Energy IRes --L- $ Olnoil saJlnbaJM'f!.; ODf'J(.' 'I JIj f\l3' ;..~Llml ted Energy/Comm $ .f..f). Qtl I. to _ '1Q '7,1., 00 DATE: q-.);)..-Oz"7 RECEIi!"i" *: ,( 1 <,7")(tJ~ RECEIVED BY: ~, D. Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see ltBll above .' Nev, Alteration or Extension Per Panel 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 40.00 40.00 20.00 36.00 wdJ