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HomeMy WebLinkAboutPermit Electrical 1999-11-16 . i: .. - "-_.:,_.-:-".~,-,-:,-~-.....,,.~ . !. . .' '" ~ -..--.-----.------......- . . ." T_ '. '.. et.. :. -- SPR~NCFlELD ;",-.:,,--;.==;_:;7",,:-:;-;;::;;;:::::-.~;;.:;::;'.;';';::;::i" .,. "..; ".i ' -:' ~ j , ..,":;:. Th' lollowing project as submitted has the following ".. .. .. ;.,.",," "..a does not require spec.flc land use ELECTRICAL PERHIT APPLICATION 9t~7,I;ai .. , {' z:- I. 7 726-37~~",ng ("' ,q ~{ty Job ,NWDb~r ?j'. q I'.) ~ ' . Gate \ \ - \ 6 . lCOHPLETE FEE :SCHEDULB BELOV 1. LOCATION OF INSTAIJ.A'U.OlL Signature ~ . :$"2.5~ ~Av1 , ~ A. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTioN REQuEsT: OFFICE: 726-3759 LEGAL DESCRIPTION ' /703 CJ.;)..,;)- (5 -.;l.3<Tt:l JOB DESCRIPTION fJza5tJ ~ "tOJ3E Permits are non-transferable and expire if work is not started within 180 days of issuance or if. work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Elec~rical Contractor 8'S-rA, ~C . Address t/J-IO OAk:-"pf'r17:.i-l!2-b, City EV6c3J6 Phone 5'ft-l.f8'5-55'1h Supel:visor License Number .4?5 Slf3- /()-Ol-OO Expiration Date Constl: ContI:, Number C. 01.0 -J...5:5t!..LS 10-01-00 Expiration Date I Owners Name (I ~ff Address 10&?f8' TJW 1:J.n'1>. ~ Ci ty ~,MVD ~Phone OvNER INSTALLATION The installation is being made on property I own which is not interided for sale, lease or rent. Owners Signature: --------------------------------------- DATE:, . .RE;CEln I: 'RECEIVED BY: //- {~c "l"J 1111C, t.f ' q{ u.J New Residential-Single or Hulti-Family :p~r dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Himuf' d 'Home or Hodular Dwelling Service or Feeder B. Services or Feeders Installation,: A:lterations or Relocation: \ 200 amps or les's 201 amps to 400' amps 401 amps to 600 amps 601 amps to 1990 amps Over 1000 amps/volts Reconnect .Only unit. Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100,00 $130.00 $300;00 $ 40.00 Temporary Services. or. Feeders Installation; A~teration or Relocation D. 200 amps or less. 201 amps to 4qoi amps Over 401 to 600' amps Over 600 amps: or 100u voLts Branch Circuits $ 40.00 $ 55.00 $-80,00 see "B" above New, Alteration or Extension Per Panel One Circuit . Each Additional Circuit or with. Service or Feeder. Permit ' E. Miscellaneous: (Service/feeder ~Each install~t10n Pump or irrigation SignfOutline.Lighting~, Limited Energy/Res Limited>EnergylComm .5. SUBTOTAL OF ABOVE 1~:;r. S ta te Surch~rge . 3% Adniin1stra'tiveFee . TOTAL.. . ,..:, Ii, 'fT." $ 35.00 $ 2.00 not, included) $ $ $ $ L{o~' 40.00 40.00 20.00 36,00 tjo- .',7t~;;, :";~';,.' '/."."'00.'" '<'-"."..,' ,'-f.'f"'.' '. ."'.,:~t. -;,....,:~.i,:.'.. '/.~~,> :";,;;:-!.' ~. '. '.; " ;';; '::,.':. .. '.', -, ' ~,\ .;. ': '. ::' .' ....-~-'''i '.l'"