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HomeMy WebLinkAboutPermit Electrical 1999-4-21 _,_. . ~;... ..t.." ". _ . _ _.. .__~,,_ .4...*_....._,_.. ..... _.~.__~_..____.h..__\___.._....~...~._ . . '"- : ,ClT zoning. and does not require specific land approval. Zoning LD(L. lite l./ ~ .).\ ..&j "1 \ , JUit;nZed Signature M '.., City Job Number ELEcr&+CAL PERMIT APPLICATION 19 tJ 'f eft, 225 FlFTll STREET SPRINGFELD, OREGON 97477 INSPECTI1lN REQUEST: 726-3769 OFFICE: 726-3759 3, COMPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLATION / (; b I ---r-^.." C; '\.--:'=rr~::.;:~gon ~'" rEi~N'5tre~)~i:Al?n t ia1-S1ngle . or . , . . - db th JJd-D!mN-Y pel' d"elhng unl t. LEGA~. DESCRIPTION foll?W ~ules adopte Y e :Slih~~tt&l11uded: .jl1l7~2Y'~/_'";~-~f~@l!1rl-G~nter. Those ru r t ~ Items Cos t Sum , III v"n :>O<'-Vv ,itlO10through OAR 952-001 JOB DESCRIPTION 0090. You may obtain copie9.~~e,f!JI!E'f\~y or less $ 85.00 1-l \/ A-r calling the center. (Note:.t~l!M~Qa\J.lJ.ltional 500 numDertortne IJregon Utlhtl/;t!l9tl~tal(Rl1 portion Permi ts 'lre non-transferable anl!:El!ltlj:1iJl;e-800-332-2~Mt€of $ 15.00 if "ork .is not started "ithin 180 days Each Manuf'd Home, or of issuance or if "ork is suspended for Modular'D"elling 180 days, q1-{~5 Service or Feeder $ 40.00 2. CONBACTOR INSTALLATION ONLY ,B. Services or Feeders Installation, Alterations or Relocation: Elec tric"l Con t rac tor JB Electric, Inc. Address 4065 W. 11th, #18 200 amps or less '201 amps fo 400' amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Ci ty Phone 687-5770 38725 Euqene SuperviS0r License Number Expirati9n Date 10/1/01 Constr (Jntr. Number 104929 $ 50,00 - $ -60:00 - $100:00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Expira ti,n Da te 3/14/00 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Signatur L~~cian N"J D. Branch Circuits ~ ,....~t'~ - $ 40.00 $ 55.00 $ 80.00 see "B"' above Ne", Alteration or E~tension Per Panel " 1 7c- One Circuit ~ $ 35:00 ~ Each Additional Circuit or "ith Servic~ or Feeder Permit ~ $ 2.00 ~~ not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm The installation is being made on property I o"n which is not intended for sale. lease or rent. E. Ovoers Signature: --------LTf--,r------------------------ DATE: 71 HI f1 RECEIPT ~: O~~ ~~~ ,# RECEIVED BY: ~ t.l,....r 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20,00 $ 36.00 - ~I ",,0::: ,::.-- i .:J....- q,b ?a~ ./ I