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HomeMy WebLinkAboutPermit Electrical 1999-04-20C'TV OF1 225 FIFTB STREET SPRINGPIELD, OREGON INSPECf,ION REQUEST: OFFICE: 726-3759 1 l'he tollowing proiect as submilted has the following zoning, and does not require specilic land use approval. Zoning 7 Authorized Signature A s'PBINGFIELEl CAL PERHIT APPLICATION ty Job Number 7 fq 5- COHPI,ETE FEE SCEEDIIIJ BELOV Nev Residential-Single or Hulti-FamiIy per dvelling unit. Service Included:Items Cost s 8s.00 $ 1s.00 s 40.00 vnn,l *3?"0*dlk DESCRIPTION1 /b 6z ZOO LEGAL /703 7 Sum DESCRIPTION ATTENTION :Oregon la00eqsqe$you ur le ss c '2 rules adopted bpffio@hdtdityl 500 Thoss$lef hroseHodhion Pe rmi t s a re no n - t rans f e rab ). ein&AR€ff1001 -001 0 throtfuhGAfi 952-001 - if vork is not started vithioogsofdf,,Eyobtain cdpiebdllhetfiJtCq$9me. or of issuance or if vork is suspealdn$ttfedenter.(NotUqdBlOEfrUE&Iing 180 days. numberforthe Oregon tlHHyhR ?ifBEtidneoer Center is 1-800-33r2-e344). or Feeders2. CONTRACTOR INSTALI,ATION OI\ILT B. SEInstallation, Alterations Electrical Contractor JB E1ectric, Inc. or Relocation: Address 4065 W. 11th, #18 Ci ty Eugene Phone 687-5770 Supervi.sor License Number 38725 Expiration Date 10111 Constr Contr. Number 104929 3/14/00 200 amps or Iess 20i. amps. to 400 amps -- 401 amps to 600 amps _ 601 amps to 1000 amps- 0ver 1000 amps/volts _ $ 40.00 amDs - S 55.00 amps - $ 8o.oo rbOOT6Tts see *B' a56?il s s0.00 s 60.00 $100.00 s130.00 $300.00s 40.00Reconnect 0n1Y c 200 amps'"or less 201 amps to 400 0ver 401 to 600 Over 600 amps or D. Branch Circuits Alteration or Extension Per Pane1 Temporary Services or Feeders Installation, Alteration or Relocation Exp iration Date Signature o Electrician Ovners Address 7oz tsf Nev tul one icircui t gach\ eaaitional CiLcuit or t ith or Feeder Permit / $ 3s.oo 3t- Ci ty.Phone OVNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: DATE: l |{E. HisCe llaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utIine Lighting- Limited EnergY/Res Service $ 40.00 $ 40.00 $ 20.00 $ 36.00 ?7'5 SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL ( $ 2.00 ? t.6t' 4,/?rTRECEIVED i lna ma E:,rfi,rrfo