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HomeMy WebLinkAboutPermit Electrical 1999-11-16 The folloWing project as submitted has the following zoning. and does not require specific land use approval L m~ 225 FIFTH STREET Zoning , SPRINGFIELD, OREGON 97477 \ \-, I,..,.q L1 INSPECTION REQUEST: 726t~.j/b~ c.., OFFICE: 726-3759 Authorized Signature ~. 1. LOCATION/ OF INSTALLATION / ?I r. 0 r p-u/t...4 S'r ' A. , LEGAL DESCRIPTION ! 7 (]s ;;l, 1m") 96m:) JOB~ DESCRIPTION.,,"" ,~" ,;;quires you to ~, r ufAJ!ii{vuleS ".5fY6$iI,Q"t ~~e Oregon Utility NollilOOllon 1,()f11'" Tllose rules are senonn Pe rmi \~ ~:::!'.H'.:J9.9~.t t r.ansfera~ileJaiid~:expHe if ':'0~~9~~'l'n2~n.~\t\\1i,~.~P .;';!~.thiri t~80udaysJ of lSSU~}a<;;El.~%;;ttf\'t'Blt\li!!H!U_Sp.e!\ded1~for . 180 da~fu"mbEH for tht Or11lpon Utility Notification . rco....I.'.:r "' .~.,.. ..,'.J.....~~.14) 2. CONTRACTOR INSTALLATION ONLY , ,B. 'Electrical ContractorA.Dt S'uJI1.[h. Address IC:-o I tJf'lA/L ( C.d /., (f f Ci ty ec...-"'7~ Phone J '-( 2 - ( l ( f Supervisor License Number f?C; ~ YL. f2 Expiration Date' rOa/01. Constr Contr. Number. c: '?"? if C{ Expiration Date >II? (err. S,'i~a~re of Supervising Electrician MJ---. ~ Ollne:s Name_ .v6~ 1Jf.1)""--- Addressl ~o l ~c.--, , Ci ty~C\ lIQhhone 741 J-t;{)-- OVNER INs:rM ~TION , The installation is being made on property I olin IIhich is not intended for sale. lease or rent. Owners Signature: DATE~:;;~/I~-~;;;-?-------------------- RECEIl"f 1I:_ f)}rA /:IV ( . RECEIVED BY:..l). /Y1(,f CA a cl-U -HLECTRICAL PERMIT APPLICATION City Job Num~er qCj 1570 Nell Residential-Single or Multi-Family per dllelling unit. Service Included: COMPLETE FEE SCHEDULE BELOV Items Cost Sum 1000 sq. ft. or less $ 85.00 , Each addi tional 500 sq. t.1~Q~rnortion therOOf 11\,i~: $ 15.00 Each J:l~llWe:~MIli61WII.t. EXPIRE IF THE WORK ,MsodUJ.Ili~l;e>>ll~\JDERTHIS PE~M1TI~I\IOT , erv~encrr"teecter . "40. 0 COMMENCED OR ISABAI~tJOWD FO - Serv i AflfiI 'fro &!i'1!!tmOD. 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 amps/volts Reconnect Only $ 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 Nell, Alteration or Extension Per Panel $ 35.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Service or Feeder Permit E. ,5, SUBTOTAL'OF ABOVE 7% State Surcharge' 3% Administrative Fee TOTAL $ 40.00 $ 55.00' $ 80.00 'see "B" above , . $ 2.00 $ 40.00 $ 40.00 $ 20.00 $ 36.00 I6Sb~ 7 _ <"- ---.L:..^ 'I. ~~.I!u ,~ (=:.--