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HomeMy WebLinkAboutPermit Electrical 1999-8-24 , .~. . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION ~t:.Il7() Galt.-u-bu sl-. I LEGAL DESCRIPTION J?~~4j""...d&) .",!!'J/~ / 97477 726-3769 ELECTRICAL PERMIT APPLICATION Ci ty Job Number Q9 /02~ 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: JOB DESCRIPTION i'n5ft:( If sP1U.n 7-V ; Permits are r.on-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 Electrical Contractor Son it ro I Secllr i ty Address P.O. Box 21009 Ci ty Ell uene Phone 461 .. 5678 Supervisor License Number /6/1'1l<.fjr Expiration Date //)-1-99 Constr Contr. Number 65149 Expiration Date 6-28-00 Si~~~Sing Electrician . /J D. Owners Name lLhaJ I"o'.Ylurf< (}td,LJilJr'm Add ress g(q to () Ga:.feuY.lA / S~. ( Ci ty '<frt'''eh'f.Jd Phone 744- CJ497 OVNER INSTALLATION , The installation is being made on property I own. which is no~ intended for sale. lease or rent. \( .... '\' '. Owners Signature: --------------------------------------- DATE:. g-7,-/.&39 RECEIPT~: ":j"~3AO RECEIVED BY: ~{::;J -7/ - //Y .. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Reloca t i on:. 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 Items Cos t Sum $ 85.00 $ 15.00 S 40.00 $ 50.00 S 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Se'rvices 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "BII above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 15% S ta te Surcharge 3% Administrative Fee TOTAL $ 35.00 S 2.00 no t included) S 40.00 S 40.00 S 20.00 -L- S 36.00 3"ui> :J:>d-. IOIJ . "J, ''1: (of) ~G,(Jl)