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Home My WebLink AboutPermit Electrical 1999-07-13VGFIELcl o9 Date I.,EGAL DESCRIPTIONnon36 Vto r do JOB ION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance oL- if vork is suspended for 180 days. 2. COMRACTOR INSTALT'ATION ONLY Electrical Contractor eC Address Po%r qL1 Ci ty Phone Supervisor License Number 3 rolrlor Constr Contr. Number 1 Expiration Date V gloo CAL PERHIT APPLICATION b Ntnuber Qq O 3^3 SCBEDTILE BELOV al-Single or per dvelling uni t. 4?bb S Service Included: B C D E 5. SUBTOTAL OF ABOVE 52 State Surcharge 3% Admini.strative Fee TOTAL Items Cost Sum s 8s.001000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular 'Dwelling Service or Feeder s 1s.00 s 40.00 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_ Over L000 amps/volts Reconnect OnlY Temporary Services or Feeders Installation, Alteration or Relocation 20L s s0.00 $ 60.00 s100.00 s130.00 $300.00s 40.00 aE6iF 00 00 00 Brt $ 40. $ ss. $ 80. s Expiration Date ti*"'"? Ijffi,'"F7.myx Ovners Name Address Wq Z q+-h- Phone OVNER INSTALT,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE: 200 amps''or lqgs to 40Qampsamps 4010ver to 600 Over 600 amps or 1 Branch Circuits Nev, Alteration or Exterrsion Per Panel One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/OutIine Lighting- Limi ted Energy/Res Limited energY/Comm t see 3b.oo s 40.00 s 40.00 $ 20.00 s 36.00 s RECEIVED B j ciw ?..%.,,a_ DinQ- WPA^ Lk Lr.tZLt\ t I ttrD IINGFIELt) 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or - Modular 'DveIIing SerVice or Feeder Services or Feeders Installation, Alterations or Relocation: afr, 225 FIFTE STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFPICE: 726-3759 1 OF INST LEGAL DESCRIPTION The lollowing proiect as submitted has the lollowing zoning, and does not require specific land use ELECTRTCAL PERHTT APPLICATIONCL 3-to -q1 City Job Nr b", ??A>23 ,d.J .. co*rtorE FEE scEEDuLE BELov # 9f, 'A-Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems Cos t ^JoE DESCRTPTToNATVA l^irrTt-.c t flV:{tT o approval. 97 477 zonino726-376q Date Sum Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if work is suspended for tB0 days. 2. CONTRACTOR INST ONLY Electrical Contractor B s 8s.00 s 1s.00 s 40.00 $ 3s.00 e5* s 40.00 $ 40.00 s 20.00 s 36.00 Address Ci ty fra,&x. /s 3z EIY)Ph""" baq - zv?L Supervi-sor Li cense Number Expiration Date rul Constr Contr. Nunber Z€bl Expiration Date Jr** lqqg si re of Supervisi trician \ rs Name bte Ca Address /Zf e frYA' ci H.Phone OVNER INSTALLATION The installation is being made onproperty I ovn which is not intendedfor sale, Iease or rent. 0vners Signature: 200 amps or less 20L amps to 400 amps - 401 amps to 600 amps --601 amps to 1000 amps over 1000 amps/volts -Reconnect OnIy Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps"or less $ 40.00 201 amps to 400 amps - $ 55.00 0ver 40L to 600 amps - $ 80.00 0ver 600 amps or 1000 voTts see ttgtr "ffi s s0.00 $ 60.00 s 100. 00 s i30. 00 s300.00 s 40.004s/* c. D. Branch Circuits Nev, Alteration or Exterrsion Per Panel One Circuit I Each Additional Circuit or vith Serviceor Feeder Permi t $ 2.00 E. Miscellaneous (Service/feeder not included -Each installation Pump or irrigation Sign/Out1ine Lighting- Limi ted Energy/Res - Limi ted Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL 5 '7<,'a- -/ -aC OF7f ea DATE RBCE RECE IVED D