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HomeMy WebLinkAboutPermit Electrical 1999-3-8 . . The. fOllowing project as submitted has the following zonmg. and does not require specific land use approval. ELECTRICAL PERMIT APPLICATION Ci ty Job Number"'f q 'lID I r 225 FIFTIl STREET SPRINGFIELD, OREGON 97477 Zoning INSPECTION REQUE'ST: lJ216~o OFFICE: 726-3759 0-(1_ 3- \( "'-.CJc: Autnorized Signature i:1...J .L 1. LOCATION OF INSTALLATION O(lP9 KRUSE:... Wp..y A. tiGAL DESCRIPTIOJ 703;2:.2. ,).{).Xf107- CaV\~~," SU\\E.S \ \, ~,;:::.\ JOB DESCRIPTION ~\ ~ AL:f>..<~ S~ Permits are non-transferable and expire if vork is not started 'vi thin 180 days of issuance or if.vork is suspended for 180 days. 2..' CONTRACTOR INSTALLATION ONLY B. Electrical Contractor NA.T\oNAl- F\~ r\(.r~ ~ Address2bl \ W,C:;-Ti+ <:''\. I Ci ty, Eu ("", Cf2. Phone ties-- Y::;u,fJ, Supervisor License Number ,::;>\O\.2.E.., Expiration Date \0(1 \q~ Constr Contr. Number \~4~~8 Expiration Date -=5.- 8-00 Signature ~~~~i~Elect~ician ~ ~O~. '- OV~ NameLAL-O~ \ 1-.1--. C. t:>E\.la..c~\ c:.ofZ-f", Address'3<'\,.,C;- ~...r..n "c'" -JI.CCW 1..At---ra Ci ty 't::>r-\\:> . Phone ,411l - gl.//.fL{ OYNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale. lease or rent. , Ovners Signature: D~;~~--~jf~jfc1fyr-~----~----------~- RECF.Il",U ~ {'!) ~ < n /. "- RECEIVED IlY: Jl-.1i17i J/l..:---: ccrliPf::ETE FEE SCHEDULE BELOY Nev Residential-Single or Multi-Family per dvelling unit. Service Included: ATrENTION'Ore Items. Cos t f " . gon law reqUires you to 100~J(,~1l7l~~~e~a'i?.pJ~d by the Or€s085.l~Oy Each) !3,'A~g5ij.,^i{'fH3J)Ohu".. rUleS are set forth sq cJo~6 9r 0'r'hlllh10 through OAR 952,001- therpo'f ou ay obtain copies of t$elrli~y I"amnc: 'her.o/il'" '" . Each flanur ~(J nO e,ro".ole: tne telephone ModG~JII!lqs~e'll11fu'grego[l Utility NotifieatiPB Service or'3IF€el:l'e1r800'332-234'~, 40.0' Sum Services or Feeders Installation, Alterations or Relocation: C. 200 ,?~ps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps "to, 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 '~~ <:-u Reconnect Only '~P/~ $ 40.00 T' .. S' "'-IIt;:'F dlic WO'" emporary erVlces or '_!!'';!.'7,rs t1/( Ins talla tion", Al teJ;a tion or/,Reloca tion ,., (I" -v'\<:.(j 1-0 . -VI 200 amps or 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 D. Branch Circui ts Nev, Alteration or Extension Per Panel One Circui t Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) / $ 40.00 $ 40.00 $ 20.00 _ ~. $ 36.00 <;CI DL./ 3/A . 0 l) ----f. J ~ -:1'1.. f( 5. SUBTOTAL OF ABOVE 57. State Surcharge 37. Administrative Fee TOTAL