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HomeMy WebLinkAboutPermit Electrical 1999-7-30 The, following prOject as submitted has the following zoning, and does not require specific land use approval. Zoning -1-/-( 225 FIITH STREET Date ') - ~o - C, c SPRINGFIELD, OREGON 97477 J/ \ \ INSPECTION REQUEST:Aut'l"l~~'!l~i99"ture '"!::M) OFFICE: 726-3759 1. L, OCATION Of....rNST~L!lTI.PN DI -' ~5ll f-Y'Qn \L.\\h n VJ LEGAL DESCRIPTION /1rJ1,3l/?J..- 00 'lb'~ JpB Dt:SCRIPTION A-CL<) 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 Expiration Date J(\.-I-qq - , . Signature of Supervising Electrician '~-P~ Ollners Name ROYY1Qt\\'o. , Fron k.lin "Blvd 'Address 1nzD Ci ty 6.lJCR Yl P o..J OVNER INSTALLATION Phone The installation is being made on property I olin IIhich is not intended for' sale, lease or ren t. OllDers Signature: .. .._--~---!------------------------ iiA~E: - 7/ ~ 11 RECEIPT U: {j ~ ':>O)!"( , RECEIVED BY: M .(,.).",..j/ ELECTRICAL PERMIT APPLICATION Ci ty Job Number C(9oCf 71 3. COMPLETE FEE SCHEDULE BELOY Sum $ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits A. Ne~ ,Residential-Single or ATT~!I.ltJi\q;:B.rn'i1-Y'':pe'r3CdlleH<ingouni t . , followg-l;!le.siftl:l9P1i\~IDud'e:o':)regon Utility Notification Center. Those rules areIst'ems1h Cc s t in OAR 952-001-001 0 through OAR 952-001 - 0090. mOOallCPbfail;\ copie>les's.he rules by $ 8~. 00 callilJSllth> caddatt ~nW. ttli'p9!lephone numbestllJ" ttfa: Co$"g.v.o!;J~ ~ WNotification tnel',eoJl-800-332.2344). $ 1~..00 Each Manuf'd Home. or Modular 'Dwelling Service or Feeder .$ 40.00 B. Services or Feeders Installation, Alterations Electrical Contractor Px I" I rlers ElerJV1"C' or Relocation: Address lC1 S Macl,''Soh NOTIg;: amps or less , THIS P~i'lMlB.lDli~LteXlillmEl/nipst: VVUHI\ City E~ev)e Phone 4-'6S-D97_7 AUTH~::E~I!Fnf~R~T.IS.t>lOT Supervisor License Number 2 q 70 -.s COMM~~ ~~6~~lil~~~FC~ (J() ANY1~nJli:alOlOnly Expiration Date 10-/ - rr Constr ContI'. Number 1 n-/2 C. $ 4(1.00 $ 55.00 $ 80.00 see' "B" above " Nell, Alteration or Extension Per Panel ~5.oo One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit ~ $ ~~.OO E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited' Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 18t. State Surcharge 3% Administrative Fee TOTAL (0.00 not included) $ 40.00 $ 4-0.00 $20.00 $ 36.00 41:00 . (I , -I. IU <-IC1d