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HomeMy WebLinkAboutPermit Electrical 1999-4-20 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 The following projecl es submihed has the following zoning, and does not require specific land use approval. tc- ELECTRICAL PERMIT APPLICATION 97477 Zoning 42:1Aj~ 2.. ? 726-3769 '-f-~ 0 _ c:, C, City Job Number I 71/ } Dale . ~. 1000 sq.ft. or less Each additional 500 sq. ft or port ion ATTEFJW(l)\=P61 ~rAnllirL 5 15.00 f II FoJj Ma,~u e-~"UTC~ yuu <0 O. ow. "~. if ~:f tHgOregon Utility ~~~~a .Br? '?p ero nfl1!~d\!lf;ls are set fortIS 40.00 ;<- Of- 010throughOAH~o2_001_ O~~O. ,59,'tV'i''Ce'Sb\;lin f;1ll}lilslQl the rules by call1~A~It'aij:Ij!~lterolf\loWl~~le See u r i t Y numQru' f'Rl=l116cal1egm~ Utility Notification Center is 1-800-332-2344). 200 amps or less 5 50.00 201 amps to 400 amps 5 60.00 401 amps to 600 amps 5100.00 601 amps to 1000 amps 5130.00 Over 1000 amps/volts 5300.00 Reconnect Only 5 40.00 Authorized Signature 1. LOCATION OF INSTALLATION ~n rn (L.JJr, ~ . LEGAL OESCRIPTION 01 !7()31,nl (')o~bi) JOB DESCRIPTION , -~nDQ ~CJ1D\'\\t'll Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Son it rol Address P.O. Box 21009 Ci ty Euuene Phone 46 1 - 5678 Supervisor License Number \ LP~'I<CT Expiration Date IOlqq Constr Contr. Number 65149 Expiration Date 6-28-00 Signature of Supervising Electrician 1u1~ . Ovners Name'R'\"\{).ll\ Address ~ (0'<\00\' 6~ ~. Cit€:P": ~PhonelL\\-;::n-n OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale. lease or rent. Ovners Signature: ------------1--/----------------------- DATE:_ ..flu f'f RECEIPT H: ~. , '" d.s 3.r~ f/ RECEIVED BY: iJf li'()..J A. Nev Residential-Single or * ::::~::m~:: ::~::I:::O:ni I. " \.~ Service Included: Items Cost Sum 5 85.00 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 5 40.00 5 55.00 5 80.00 volts see "B" above D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit S 35.00 5 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation 5 40.00 Sign/Outline Lighting 5 40.00 Limited Energy/Res S 20.00 Limited Energy/Comm 5 36.00 ?iI.",ro 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ?-J.p.~ \"R.O j .G€; ~.""~