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HomeMy WebLinkAboutPermit Electrical 1999-12-06CITY OF OPEGO'U -r6a6uracLs { 225 FIFTB STREET approval Zoning Date SPRINGFIELD, 0REGON 97 477 - a-uthorrzed Signature INSPECf,ION REQIESTt 726-3769 OFBICE: 726-3759 The lollowing project as submitted has the zoning and does not require specific land use CL PBRHIT APPLICATION ob Nunber 7t tu *z- 3. COHPI,ETE FBE SCEEDUI.E BELOU A. Nev Residential-Single or HuIti-FamiIy per dvelling unit. Service Included: I tems Cost $ 8s.001000 sq.ft. or less _- Each additional 500 sq. ft or portion thereof Each Hanuf'd Bone. or -Hodular.'Dselling Service or Feeder $ 1s.00 $ 40.00 1. IOCATION OF INSTALI..ATTON I,EGAL DESCRTPTIONtl o a ec2 3 4 It" Q 6T) JOB DESCRIPTION b.oe-Access S 'l s Pl Peruits ire non-transferable and explrelf vork is not started vithin 180.days of tssuance or lf vork is suspended for 180 days. 2 @NltsACTOR INSTAII,ATION ONLT .B. Electrical Contractor Coop Addres " Alz Mnin,{+5€ Phone fcl t. ?)U-clrq/ Supervisor License Number )O7 9 tt€ Expirat ion Date I o ^o i constr contr. Number q o57l c Services or Feeders Installation' Alterations or Relocation: SUBTOTAL OF ABOVE 'l?oState Surcharge 3Z Administrative Fee TOTA.L 200 amps or less $ 50.00 201 amis to 400 amps - $ 60.00 401 amps to 600 ambs - $1oo.0o 601 aniis to' 10oo amps- S13o.oo over 1b00 amps/vort; - $300.00 Temporary Services or Feeders Installation, Alteration or Relocation -Each installation Pump or irrigation Sign/OutIine Lighting- Limited EnergY/Res - Limited EnergY/Comm i Sum Exp Signature of Supervising Electrician 200 anps"o: 201 anps to 0ver 401 to aE6FOver 600 amps or D. Branch Circuits Nev, ilteration or Extension Per Panel orie Circuit $ 35.00 Each AdditionalCircuit or vith Service or Feeder Permit $ 2"00 Hiscellaneous (Service/feeder not included) iration Date 1^oo less 400 600 $ 40.00 amDs - $ 55.00 anis - S 80.00 rbOO-v6Es see nBn O'{ners Name C&{ e.:r 0 < tt nl rr.l Address I lSCr M o$ nu-,(-LVD Ctty Spz,^,rrrr;.A Phone 3*3- OYJQ OSNER INSTALI,,ATION The lnstallation ls belng made on property I ovn vhibh is not intended for'sale, Iease or rent. Osners Signature: DATE:\- L-4, E -@ $ 40.00 $ 40.00 $ 20.00 s 36.00 5 OO zdNRECEIVED B 3q. b0 city A ugnp?