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HomeMy WebLinkAboutPermit Electrical 1999-12-23 . '-'P.lFIELD I The fOllowing project ' I zoning; and does no~~eSqU~mjtted has the fO/Jow~g approv~" ulre specific land Use 225 FIFTH STREET Zoni~o L-b fL- ELECTRICAL PERMIT APPUCATION SPRINGFIELD, OREGON 9749"1e /2.-;2..3- "l, ~, 'Q, ,/c4,~ INSPECTION REOUEST: 7~i~.llJ Signature _ <=1(, '.' ", ty Job Number '-7 J ~ OFFICE: 726-3759 ~ I 3. 1. LOCATION OF INSTALLATION ~\6\6 ~\nT>..k,\r Ave.. I LEGAL DESCRIPT!.9~ J /~10? D~ ~ e>3~ JOB DESCRIPTION 2. ,?ZOO /'!WIt' .c:;gR.VIC.~ S' 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 Electrical Contractor Address '" / Phone / License Num~ Date / City_ Supervisor Expiration Constr Contr, Supervising Electrician - COMY~ri FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items 1000 sq.ft. or less ,$ 85.00 Each additional 500 sq. ft or ,portion thereof $ 15.00 Each Manuf'd Home, or Modular 'Dwelling Service or Feeder ,$ 40.00 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 ampsJvolts Reconnect Only $ 5'0.00 Ir::;O $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation \ 200 amps' 'OT less $ 40: 00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Owners Name! eY'eSo.. sJOO'()l?l/€IY D. ,Address_JDIO ~ve- Ci ty, :) f f 1 J. Phone ?4t -fJx:r OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, Ovne~s Signature:0 --rMOl./A... r..}j ~ J1.07~ _ DATE~--------/;2:;I'~3~1------------, REC~!~_ u :... "';.(A;';. ~ ,'<:1'- .,2:2. , .. Branch Circuits " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Servic~ or Feeder Permit ~ $ 35.00 $ 2.00JllQO 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. SUBTOTAL OF ABOVE l'\ ~ State Surcharge 3% Administrative Fee TOTAL ! 0Q,OO JI.~ . :t%..~ J 7~ijo