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HomeMy WebLinkAboutPermit Electrical 1998-12-19 .~6-b The following project as submitted has tho following zoning, and does not require opecriic end uuo approval. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ZonIno We77 726-3769 Authorlzod SIgnature 1. LOCATION OF INSTALLATION 11101 \ )....) L-A.lJh Ik.)....yo LEGAL DESCRIPTION l~ n~ Od->~?' - nlla(). . A. ELECTRICAL PERMIT APPLICATION Ci ty Job Number q ~O ;)... I 3 3. COMPLETE FEE SCHEDULE BELOY New Residential-Single or Multi-Family per dwelling unit, Service Included: Items Cos t Sum JOB DESCRIPTION I \' R,;"......d;:l' ~~c...l p-<;. Cap~..IIA.""lSI'9...'" f' r- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 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 2. CONTRACTOR INSTALLATION ONLY .B. ,,",0 e....nlwe:s-r Electrical Contractor 1,....1)U...,-r~I.~I_. ~It::.. Address 4s I -Stte;LL~. lAJ IT C. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 City-s\llr,u,;\?Cb Phone i-z.;.c.. ."",u... 401 amps to. 600 amps $100.00 . . Mn11r.e' 601 amps to hOOP amps $130.00 Supervisor License Number /h 77S":TSHALL~e.WO'1Hl:ilh~olts $300.00 . . Tt-I1Sl"t:n,v.\ 'R'e'~~MrP~T $ 40.00 Expiration Date /CJ~/ /9JAUTlo\Ol'l17FOUNOERTHI .c..ISl,~sOOrices or Feeders . Constr Contr, Number DtlO(=(1S0MMENCEOUH t'nstallation, Alteration or Relocation ANY 180 DAY PERIOO. I - 1- ""> 0) 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Expiration Date Signature of Supervising Electrician ~/~ ~ ~-^~ ~. /1 D. Owners Name FRG?"fl' uJ h'el'-1J-EIl/ Address /7~/ f/J/L.4/J/cI {l)A- J Ci tySp"'"'1-...fI~/.d Phone OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~-------i-~(q-~-9g'---------------- RECEIPT II: .:+.'lS ,,&; 6 RECEIVED BY: dvJ $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits .' New, Alteration or Extension Per Panel _L $ 35.00 34 - One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 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 "SS- 5% State Surcharge J .,~ 3% Administrative Fee I o~ TOTAL "'" 7 1!!>0