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HomeMy WebLinkAboutPermit Electrical 1999-6-7 (2) I' .... .'.".. . . ,=-. 225 FIFTH STREET SPRINGFIELD. OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION ;:) I),!"\ L.Ct\,Mo. -:=:-'-t,,..,,,+ -i:l rl{)J5 JU:~A PJ:S~rrtJ()'-14 ou JOB DESCRIPTION ,..::) /fa. +...,,, A:.. CDf\cJ: + "0 AI". ( I Permits a.re non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTAL1~TION ONLY Electrical Contractor~JXf11n~ Address ~~'""N () lAJ. Y1'1a..rtU1.., ,1~ity1te:v.lfll Phone %-2440 Supervisnr License Number ,:l)LD\L\.~ Expiration Date loldoo Cons tr Con tr. Number I O( ~CjL{ Expiration Date -11\~C\ '::.:~.:;:~~;-:':~~:::i'" Addres;.a..l~ /....c.\A.~"":":\ -:ll...JAX Ci ty.~,; "-,:S',,,.ld Phone 141~ - -'-J~qii ~ S",)'-l" OVNER INSTALLATION mo\"\,-\\c~A'uyd bo,..,..,e, 3'1e.cr:s C> Id The installation ;s being made on property I own which is not intended tor sale, lease or rEnt. Ovners Signature: D~TE~--- ""ot=::;:-if't:t:-.---_-.--------~ RECEI~: I ;:i u":;: V,?" '0 RECEIVED BY: . f/tll.tf./\ _ ,. ELECTRICAL PERMIT APPLICATION , QQn1(or- 3. COMPU:TE FEE SCHEDULE BELOII ~ . A. New Residential-Single or Multi-Family per dwelling unit, Service Included: f~/IENrION'_ Not'/!f!JOGJ/~q~ f~r.9!Rfl .less $ 85, Ol> In o~''FJat!.bn !,a~cI-~(tdtl1iHl,t.Cll500qU/~ . 00 Rs-qi:?&rnO'tl'. PRr-tilonOre es You to 90. 'yr;Q'lflolf0010ttO.,serUles gonU/ilit $ 15.00 CClI/,F;a'i!;: 'M'an.!llt;a 'H~I@) QrCl/eset~ Y nUrnbel\rJifuiJ!aTle1N'k<1a,j(llg ~AR 952-o0rth 2grVi<~~\ifN8.e_\!~el? ther/l!c 07.S 40,00 enter i~ 1 egon Uti',. !e te/ep..o ~ by . '-R"ry 1111^,. I' ne 8. Servlces or,F,~<~q~~~hficafi Installation, Al'~H)atiofffi1 or Relocation: Ci t>. Job Number Items Cost Sum '. 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnec f 'Only S 50.00 $ 60.00 $100.00 $130. ')0 $300.00 S 40.00 C. Temporar~ Services or Feeders Inst(:l-J.a'tIil.o'1:l.sl Altera~ion or Relocation ~SIJ. ~a(Z 0'01. 200 ;;;~J~~~~ItSIt~. O'~o'...(~ 40.00 ;~;r a~bl ~~!. ~~; I:IOOSQ:~~ Over 600 amps o~ ~~~~~ above 'S.J.tfl;1:/ 'O~ ' :~J So'Sl1tJ. -. Ne~, Alteration or Extensl~~CDAF Panel , S 35,00 D. Branch Circuits One Circuit Each Additional Circuit or with Service or Feeder Permit " .;. \ ;'.00 E. Misce11a~eous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not, included) S 40.00 S 40.0(' S 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3r. Administrative Fee TOTAL 35.60 _.1,1,.5 _I.D.5 --.:?D . 1<'('\