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HomeMy WebLinkAboutPermit Electrical 1999-6-11 Nov-12-9a 09,B7A . . ~~b j/-qq03~ The following project as submitted has the following zoning, and does not require specific land use approval. tJI ~I Zoning II" I' 225 FIPTH STREET ( - ,I -'1 "1 SPRINGFIELD, OREGON 1:9l14T' " ''\ INSPECTION REQUEST; A1Ul~~l!llgnature ~ OFFICE; 726-3759 ElECTRICAL PERMIT fl?iCfPMn Y7 ~\ly Job Number \J\~l)' l'-\'~ 3. COMPLETE FEE SCHEDULll 8ELOV 1. LOCATI\l1l OF INSTALLATION .!54-05 €!a AT e'N,}" ~~ Cj4f(j JQB DESCRIPTION " E J( TflJi.. !..-Iahtfnq (!Jrt.u.LiP - J J Permits are non-transferable and expire if work is not started witbin 180 days of issuance or if work is suspended for 180 days, A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cos t 1000 sq,ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dwelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLYJTENTIONB, 5~rviees or Feeders '/", -- /./M::hCa :oregxhSit\a'ti'81t'i'"8fi.YCM.~erations Elee t ti c..1 Con trac tor--' t; J 'UlUJ"lIVIu1es adopte<lPIRe'11b'2iift'ion )Jtility Po ro.. '61~ '\I0llTlCallOn venter. Those rules are set forth Address '. 'J inOAR!'lfi2:001-001i.?Q\l-cR.JIjP~!1.fl<lg)!'ll01- City /}.{.b4.JU-l:.L PhOno(54fP.tg~4~~e~~et~i~ti~}~ft(~~~~~: J ~- . 'AlWlam\i~ l:U"ij,v~amp$ Supervi.~nr License Number 3;l.~l$lrforthe OreOQeJ!Jiiood'J'iiil'P'Sl<m ts 10- '-OD venter is 1-fRe.C6iili'e"e:t40)11y Expiration Date '?,c~'l Constr COlltr. Number v;.J..... ~-~ Expiration DatI! "I-:J.'7.oD 10 -1,.(;0 Signature o~perViSing Eleetrici~ 0._ __ ~, I' y ~- - r---' Owners Name.S:TE-VC. -51f1 KIfG,I.UJ-H' DATE~------(:;;-~ll'--~1:\~-----~--- IlBCEIl'T I! ;.soktf N ~ ~ REC&IVED BY! ~ ",--,,' NOV-12-1998 10:00 $ 65.00 $ 15,00 $ 40.00 $ 50.00 $ 60,00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation D. 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits $ 40.00 $ !lS.OO - $ 80.00 volts see "B" "t.i"O'V'e .' New, Alteration or Extension Per Panel 5. sUBTOTAL OF ABOVE 5~ State Surchnr"e 3X Administrative Fee TOTAL Address d.01~ tJLur-rvW../.:5r . v' One Circuit Ci ty , ~h!. n'IJL;IJ Phone (!;'ti), 12/.>- qghh Each Addi tion..1 ~'~ NOTICE Circuit or ...ith Service .1/_1/\ PVNER INS1'ALLATION, : or Feeder Permit ~ $ Z. 00 ,/,(Jo-' . , TH/SPERM/TSHALL/;YP Tbe installation is being mad~'~nOJZE 'E: ~l~~~f]i~~ro~vice/feeder not included) property I own IIhich is not inre'tld...~, DUNDERi/lIm~\ol>,l.l,a"V,Q.Il for sde, lease or rcot, COMMENCED OR IS .r,l,lJ!l.(l,~~:r~Pi'gl.!~Ydn $ 40.00 ANY 1 '1R'g\'IJtM'iIfIi.lmOJIlightinr $ 40.00 Owners Signature: 80DAYPER/OlJ"imited Energy/Res $ 20.00 Limited Energy/Comm S 36.00 5/,Cf) 1,,(:) _,_ *,." ~. ;;l. I $ 35.00 ~lX) P,002