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HomeMy WebLinkAboutPermit Electrical 1999-4-9 rhe following prOject as submitted has the following 'zoning, and does not require specific land use approval. L.. \:) r<-- Zoning Date 4 - q - q" 225 FIITH S~!1'!:oriz~d ~.i,<lNluro crtJ SPRINGFIELD, OREGON~~~ . INSPECTION REQUEST,- 726-3769 ~ OFFICE: 726-3759 1. LOCATION OF INSTALLATION (OC(QL{ "1="(').....'I~\-\r a , ) t !f:f' !!}:J_~~ON 05600 , ~B DESCRIPTION lerTJP ; 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 ~ ~ / / City ~e Supervisor Expiration / / cons~~Contr. Number Exp-r~ation Date ~ "" Signature of Supervising Electrician /' D. Ovners Name uzler, -(r Hr.-r'\"'c. ('"...~.J'e( ( Address /7 S 49 fJ, S~,.,..../- City. ':)or';''7-h'c P Phone 7l/tG-?8 €I> S OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: 21~ /4,~~.c/ :~~~~~~~3~~=~------------- RECEIVED BY: (1 ,('{\U.I Jr~ ELECTRICAL PERHI~PLICATION Ci ty Job Number ~ 6l 0 ~ 74 COMPLETE FEE SCHEDULE BELOY 3. A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular'Dvelling Service or Feeder ,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 Reconnect'Only 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 Installati~n, Alteration or Relocation ~ 200 amps' 'or less $ 40.00 U6' 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits .' Ne~, Alteration or Extension Per Panel one{Circuit $ 35.00, Each Additional Circuit or vith Service or FeederPermi t $ 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 $ $ $ $ 36.00 OD- dO, j . CJl:) r.~ "-j- -:,. ..-1'0 40.00 40.00 20.00