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HomeMy WebLinkAboutPermit Electrical 1999-5-28 , e 9'bQ KRuse- w~ "- SP ~IELD ~ T lonmg. an , approval DEVELOP~V1CES DEPARTMENT' 225 FIFTH STREET Zoning' SPRINGF/ELD. OR 97477 5- ~'? - Cj 4 (541) 726.3753 Date " ..J FAX (541) 726.3689 S atu ~ , quireS YO'J t~ AUlnor~~~ 19fFTIf'STREET All eN 1101~:Oregon ,aw re on Utility ELECTRICAL PERHIT APPLICATION SPRINGFIELD OREGONfc9l14'ill7Jles adopted by the Oreg t Ion" INSPECTION REQUESTit!otilJa.6il37~9nter. Those ru~e~:~ 9s5e2_001': Ci ty Job Number r r I () / 7 OFFICE: 726-3759 in OAR 952-001-001 0 throug le~ bv 0090. You may obtain copies o3\~e r88#8LETE FEE SCHEDULE BELOV '* 1. LOCATION OF INST~~()N,~~N:::.t~e~ele'p~ ;~ '70 9'!$ /...{~r on Utility IJ!ltill~~ 'Residential-Single or Cel)teris '\?dO - 32-2344). Mul t.i-FamilY per dvelling uni t. LEGAL DESCRIPTI~....~)g"'*W OCPfb1 Service Included: ~-'J~ '-<> &n..- Items Cost Sum, li JOB DESCRIPTION /J;>n-T.L.-/ Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for _ 180 days. 2. CONTRACTOR INSTALLATION ONLY B. .,p. ~.>a1 Contractor/..e..-:u..<A k~~:;"..e.. Address&/uC;- sUi r::''''!t?/JU/T.'Ct... 41, , r /' _ ~ Cj'7/o/D .sz:;.3 CitY~~d Phoneb;;1.,,<;-37~ X. ~~"7 Supervisor License Number Expiration Date c.LBti ",,--r;: Cons tr Con tr. Number........ 0 'I:S Expiration Date t?:? - 3cJ - ? 7 Signature of Supervising rl~_~_:_:~ /{u,d 7~/. /4tiPk Ovners Name ~ b ~<{o;5 6. //'1. {//tFl.-- ~ IJ e cI Phone 7'1J- ?Cfc{<{ I OlINER INSTALLATION Address City The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: -----------~f--i----------------------- DATE: S'fLl/'7t1 RECEIPT #: .p~~1-l.f.R RECEIVED BY: IttY /~AJ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or ~~p.&yelling ~t:>H~~'ilt Feeder ,..S ,40.,...00 THIS PERMIT SHALL EXPIFiEIf'THEWOkK SeKY~I2:Ertl;;i;'f:.1i'l NIl' PERMIT IS NOT Inst"<iI.J:'iit.i,."cm.. s'J&MJOONED FOR orCR)M~. ANY 180 DAY PERIOD. 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 $ 85.00 $ 15.00 $ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see fiB" above Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circui t Each Additional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) / $ 4Q.00 $ 40.00 $ 20.00 $ 36.00 I/O 00 f';t, 00 j, {9-tn 11.2, C}..u ~{)