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HomeMy WebLinkAboutPermit Electrical 1999-09-16CITY OF SPR OFEGOA' S. .IINGFIELO 4- The following project as submitted has the lollowing zontng and does not require specilic land use approval LDR Zoning 225 TIFTE STREET SPRINGFIETD, OREGON ry}% INSPECTI0N REQIIEST : A,rlA6ze}75$rature OFFICE: 726-3759 1. LOCATION OF INSTALLATION Tt+ EI,ECTRICAL PBRHIT APPLICATION City Job Nunbe,'78C05 2 3. COHPLETE FBE SCEEDTIIJ BELOS A. Nev Residential-Sing1e or Multi-Family Per dvelling unit. Service Included:Items Cost Sum orless a s85.00 /7O'o6itonaJOB Notifrcation Cen copies{^ Permits are non-transfe if vork is not started of issuance or if vork 180 days. 2. COIiITRACTOR INSTALTATION ONLY Electrical Contractor t7""4",a Address 5'4q/(.'r), 4**tlMLD Supervisor License Number A 78qs B. or portion z_ anu f'd Home- or Modular Dvelling Sertice or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPS - 401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amPs/volts - Reconnect 0n1Y g 15.00 ) o $ 40.00 citv 14z*-6rzz? Phone SL(/4 7 >A 7(2 $ s0.00 $ 60.00 s100.00 s130.00 $300.00 s 40.00 Expiration Date constr contr. N /o-t -o (C. TemporarY Services or Feeders tnstallaiion, Alteration or Relocationumber 5 4Qq z 0vners Name (o Address ?q7 6 s( Ci ty J,C.Phone OVNER INSTALLATION The installation is being made on piop"tty I ovn vhich is not intended ioi^ surl, lease or rent ' 'r?u Ovners Signature ' ,,$ DATE: Expiration o^r" ,,-*okalcEi i3? xlB:':: iii".mps S i gna t ure o r superv i s ing EhtssEfthf sHALL Exp'#JEitfr$1,ff*6: o:."TE8o- *rr"a56G- ATJTHORIZED UNDER TH IS PER[\4IT tS NOT nBnr'rdofrEdF1i,ircu its Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit - $ 2.00 E Miscellaneous (Service/feeder not included) $ 40.00 $ ss.oo $ 80.00 see rrBll ORIS -Each installation Pump or irrigation - Sign/Outline Lighting- Limi ted EnergY/Res - Limited EnergY/Comm s 40.00 $ 40.00 $ 20.00 s 36.00 5 SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL ) cSO i-{. 9; oe -()\ d? RECEIVED :er, Those rules 952-001-001 0 ihrough-"i[o}'\ffi1o* c,,1/ co 4=r<