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HomeMy WebLinkAboutPermit Electrical 1999-4-12 ti ... , . ; , .- THIS PERMIT SHALL EXPIRE IF THEWORK 0 AUTHORlzEO UNDER THIS PERMIT IS NOT 0090. You may 0 tain -copies of the rules by CQMMENCflD OA IS ABANDONED FOR calling the center, (Note: the telephone . ., m~~.~~: Oregon Utility Notification Mll'JUllf'l OA V P!RIOIDJ lollowing project es submitted has the to " , 225 FIFTH S'l'RJ::ET' zoning, end does not require specific land Ii'ERIIXll'3~G"TION SPRINGFIELD, OREGON 97477tpproval. INSPECTION REQUEST: 726-3769 Zoning <2.12....- . Ci t~ Job Number erg 037/ OFFICE: 726-3759 L(-I':l.-'"!"I Date , 1. LOCATION OF INSTALLATJ;lmrized Signaturo r<....5. 3L./:..~3 1-/", tt4/J ' A. /703 n '2-00 Dgor- o u rrbFlo;F~!f~" fr h 0 14 S e-. . ::3IlfLE'l'H FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dyelling unit. Service Included: Items Sum Cost $ 85.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home,or Modular Dwelling Service or Feeder JOB DESCRIPTION 0 . _;E1JP'1",p... S''-9-J,)"1~ SI?'" CIIJIU_..... f Permits are non-transferable and expire if york is not started within 180 days of issuance or if york is suspended for 180 days. 2, CONTRACTOR INSTALLATION ONLY B, Electrical Contractor I-kA/L CLJA'lJ7l4v"LLC Address /tn/3 NE fflAllx 51- Ci ty 0 ~ L f I f(UJj Phone 5rn _ 1I0.! YS-lcJ $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to. 1000 amps Over 1000 amps/volts Reconnect Only Supervisor License Number It If[ <; I q 1 Expiration Date C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Contr. Number /27tf70 $ 40,00 $ 55.00 $ 80,00 see "B" above 200 amps"or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts / . 29 _ (PO Expiration Date Signature of Supervising Electrician It - ~ / L---:::t:.- '- ~ ' Owners Name 0 W + b q<: k S' f~4 k hna ~,.. Address 'Jr..~O /3h r <:~ S',..." f"2o Ci ty.Jv. (k.... {"vII Phone OlINER INSTALLATION Branch Circuits D. .' New, Alteration or Extension Per Panel 4A.- $ 35,00 One Circuit Each Add it i onal Circuit or with Servic~ or Feeder Permit $ 2.00 E. Miscellaneous .(Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting--L.. $ 40.00 J/1L:::. Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE .J?.4Q. - 5% State Surcharge ,0, - 3% Adminis t ra t i ve Fee j . AO TOTAL {14:< ~ I The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -----------t--7------------------------ DATE: {If'1- H RECEIPT !I:_f),,? Lf 7D d . ~ RECEIVED BY: -". LJt:<-r/