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HomeMy WebLinkAboutPermit Electrical 1999-5-24 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 The following project es submitted has the following , zoning, end does not require specific land use ELECTRICAL PERMIT APPL CATION 97Wovel, c.c, 726-37611oning 5-JJ1-'l" ,w) 3. Signature Lr~ "liners Name (),."-n ,..\-lL .'1"...<. c.D Address \b Ii +\MLlK0 P..o ~ One Circuit City ~r"lr'l1f-1J..PJ Phone 1ti/- ICfIoI Ea~h A~dition~l . ATTENTION'Oregon law' ClLCUl t or wlth SerVlce OIlNER INSTALLATft:l?Mw rules ado t db th re6wres Y08fO Feeder Permi t . NT' P eye regon Utility The installation i~~1~1~~S;8gtEll'nThOse'rUleS0reslll~laneous (Service/feeder not included) property I own whf ~!:WO't1l'qh-P!1rt9~roUghOAR9~h- installation for sale. lease or \,ou may obtain copies of the nl11181~yor irrigation $ 40.00 calling the center. (Note: the teleph&~gn/Ou tline Ligh ting----L.. $ 40.00.j> ~ Ovners Signa ture: numberforthe Oregon Utility Notific!t!illfl ted Energy/Res $ 20.00 Center is 1-800-332-2344). Limi ted Energy/Comm $ 36.00 Date 1. LOCATION OF INSTALMII\li~d Signature i : ~ei.Q~ G::M.r'ir\e.M.t<l.\ "Bt1.\I\loL.. '5J.illl~J\ c... ' A. , \0\\ I1Ar-\~ €'o.;'te 10 3 J LEGAL DESCRIPTION 61'r\~~;e\c:I, 0 e. (j"7W11 1'70'2, J;) Olj 0::1<;';"..", JOB DESCRIPTION C~().(',t:'.i; --\-'it I~ :I.l\S. eo. 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 Electrical Contractorl11a..-h'^ !;ros. ~;"^f.T"c. Address 2..., .T.f-RrHN S+ Ci ty & """'-<.. ,'" "1Hf'l- Phone 1<f:t -11"''1 i , Supervi"or Li cense Number It. 2./.{O T . v /0/ of 12(.100 I I Constr Contr. Number (;"/ b I ~ P ">h'-z/-Z-O 0 0 Expiration Date Expiration Date Electrician --------------------------------------- 6-0!l.f-'19 3/.(.IV1 I DATE: RECEIPT 11: RECEIVED BY: d:4J City Job Number COMPLETE FEE SCHEDULE BELOI/ CfCf o~(A' New Residential-Single or Multi-Family per dwelling Service Included: uni t. Items Sum Cost $ 85.00 B. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'D,,&Wmlr. ' Service Jil~F~lM& ,$ 40.00 , THIS PERMIT SHALL t:.XPIRE IF THE wef*- Services ?r f'!'\~q.~?.sn ilNDF'R THIS PERMIT IS NOT InstallatlaWTHA~~erat>~n~ or Reloca t OOMMENCm OR IS ABANDONED FOR 200 amps ot\N.l.YeWl DAY PERIOD. $ 50.00 201 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 Rec6nnect Only $ 40.00 $ 15.00 C. Temporary Services 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. 8ranch Circuits New. Alteration or Extension Per Panel $ 35.00, $ 2.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL .JL4o. - ~d.'- ..1S 1.,:)0 Jj, .-{"'. ~