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HomeMy WebLinkAboutPermit Electrical 1999-12-20 " . S.GFIELD~ ~rJ<j /J.iJ:Jl@J ~i;) ;1/ ,1 f.!lit{ ~ liJ 'M, s 1; 7 ~~ lA...,a.., . I , . .-----'J ~ tlJi ' fi ~Wing prOject as submitted has the following '19 - I? zo and ,does not require specifIc land use - ~_ ~~ 1/ . 225 FIFTH STREET ""-' '::"'o,=~30ning. (l.>!-.--" "......'l'RICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974 77D.B! - IL- ")..0 -c, "I 9 "'; J ~..O INSPECTION REQUEST: . 726-jf~~ ~~ City Job Number I ~,~ OFFICE: 726-3759 Authorlzad Signatura. 1. LO((ATIQl'j OF INSTAL{.,ATION 10'10 JJ.M::.~t:V. ~ LEGAL DESCRIPTION /7f7A22e-o ~230~ ;;;. JOB DESCRIPTION ~ J ~&2( /4J PI, . ----. - . Permits are ~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 .B. Electrical Contractor"'f2,u,cJ.~t-<.. '(:;.~'1/1:iC.~ (95' />'M.Ar5/W ~ . Phone ..; ~f>' -d <fil ').. :::?.97&S Addr~5s Ci ty bJ(-l{!l.J-(,- Supervisor License Number Expiration Date CQnstr Contr. Number ..2r,9. /:). C- Expiration Date Sign~~f ~e:~~lectrician . ~ - D. Owners Name pLtdJulZ 4I",=-V !J.c/) ~ ' Address P.(),~ UD 'Ci ty ~"A'~7/~1-Phone :s J [5- ~nf OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or ren t. Owners Signature: ". --------------------.-~--------------- DATE: /) /2-tl/ 15' RECEr'PT 11:_ 7 ;((.,;~ RECEIVED BY: ~ -' l 3.. COMPLETE FEE SCHEDULE BELOII A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Sum .1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular .Dwelling Service or Feeder $ 85.00 $ 15.00 . $ 40. 00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less ~ $ 50.00 /00.- 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps. 'or less $ 40.00 201 amps to 400 amps $ 55,00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits ,. New, Alteration or Extension Per Panel One Circuit ~ 35.00 Each Addi tional Circuit or with Service or Feeder Permit C~ $ 2,00ItJt,- E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40,00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ~~ "0 ('i5% State Surcharge j4-."'''- 3% Administrative Fee ~ ,/15 TOTAL ....., .., / (dO ~""'"