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HomeMy WebLinkAboutPermit Electrical 1999-3-3 (_t' ;-No~-12-9B 09:67A \- .. P.02 ~ ~ '3 The fallowing project Zoning. and does no~~eSqU~mltted has the fOllowing approval. u re specifIc land use 225 FIPTH STREET Zoning (Y('./ BI.EcTRICAL PERIlIT APPLIC^VON SPRINGFIELD, OREGON 97477Date <r..i).U'~'UU . At,' 7\ at;::!." INSPECTION REQUEST: 7Z6-~769. - l\ . I :lill" '^b Number U,v\ll 'KJ OFFICE: 726-3759 utflonzed Signature III -. /3. COHPLf.'lJ> rr.".SCHEDUI.E BELOII * 1. LOCATION OF INSTALLATION .:57'01 fhtiJ.ju stt A. Nev Residential-Single or . " Hulti-Family per dyelling uni t.\ Service Included: Items Cos t Sum ~~b~~\ 03\n\ $ 65.00 $ 15.00 $ 40.00 Nev, Altet'ation or Extension Per Panel One Circuit I $ 35.00 35lD Each Addi tional Circuit Or vith Service t/,CO or Feeder ~ermit ,;;., $ 2.00 Address ;</)13 M.41l'Ljl).C, $:1- .sa .;1./1 Ci ty SfU~1'jfdh Phone 7;;..1t> .qgw(P 1 OVNER INS'l'ALLATION c;- The installation is being made on E. ./ J:r property 1 ovn "hich is not intended ~ for sale, lease or Cent, ~ Ovners Signature: DATE~-----------1.l~~~C\----------=~ 5. RECEIPT .' - - "'~ /).. 6[J::k4.., RECEIVED BY' ~,V , \ NOU-12-1998 10:00 \) .2 JOB DESCRIPTION ~ A.r-rE:rv,/ 1000 sq. ft. Or less o ~1 I.-rn/ Kdr hi n f.T'P/Itl..~rv:oreg Elich addi tional 500 V ; rfrt'flcati aC/Q on ,~~. f t or ponion Permi ts are non-t ransferabllPai199~(E"'II:ted bythl~eoJie if york is not started vi M<n:Jlp,o d~1 r. 'hoJ;~c'bCltam~'fVauH9me or of issuance or if york is sU!itilhlfiled7~rOOIO th~-'MOdui!~~ fi,je1!#}ng 180 days. nun;; 9 the Ce Obtain Co o~Si!r:~'<~1 Ol)t M~der er fOr th nter. (f')/ Pies 0 t 952'0 n Z. CONTRACTOR INSTALLATION ONL'Y'ent ~ Oregl},.oteseIā‚¬Vi (!>esr(O~s~leders J erts 1-80 n UtiI,W;,\ i'IQ.r.alk~9JlI )/Alterations Electdca1 Contractor "J fl1(IJu.o 0-33<.9r3_i\e~ellti'Onl < 44). lion . Address PO. !30Y ~/3 200'amps or less $ 50.00 I~.J 11, I ) 201 amps to 400 amps $ 60,00 ..:::J City rn.-btuU1 Phone ,6<11 q;;J,K-7l:/i5 401 amps to 600 amps $100.00 '-- J 601 amps to 1000 amps '$130.00 SupervL~"r License NumbeL' ~B,:A:' Over 1000 amps/volts ,$300.00 ~. --J J () Reconnect On~Y'J'JOI1:t<, $ 40.00 - Expiration Date /D-I-O ^JA'i'I~~:. C:'llP\f\~\r\ C :r ,,""" . " .cSI-\~'temporary. ,Serr,i'c.csCor Feeders Q- <.:I., Constr CO/Hr. Number ~~ ,,36"'1.1I'o,pE.f\\JI\' Ins(tal!l.at'i'orl~' A~\teration or Relocation ':::.J 1.'0 _I_qo . .'"\f\I75:D \jNUl:.', \\)Ol'-\E.O rvn ~ Expiration Date J jI,\jl\c.v ,.200a'm~~'or less $ 40.00 ~~~~~C' 201~amps to 400 amps $ 55.00 '_ ' Signatlfl:p of supe~si Blectric:1ari" '-', ,Over 401 to 600 amps S 60.00 ~ J P ~ ., ,t>,. ,. Over 600 amps or 1000 volts see "a" a!JoVe ~ ~ D. Branch CirCUits ~ Ovners Name (JTP've SJ~KA6r.UCH; .' not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting 1.imi ted Energy/Res Lfmitod Energy/Comm sUBTOTAL OF ABOVE 5X State Surchnr"e 3% Administrnlive Pee TOTAL $ 40.00 $ 40.00 S 20.00 S 36.00 ,fN Cf) /.c{5 J. 1'7---- <!-,;;I..I:1- P.002 NoY~lZ-9B ,09:57A ."," . A . .. P.OZ" 225 FIFTH STREET BIEctlUCAL l'EMIT APPLICATION SPIUNGPIEIJJ. OREGON 97417 \ INSPECTION REQUEST; 726-3769 City Job Numbe< OPPICE: 726-3759 1. L~~T~ON 01' INSTALLATION t>5 'Of fhtW'j.$J: LEGAL DESCRIPTION JOB DES~~ION . '.1~..u\.t.w..l1 U,~J61r1l1n (lJ1aJl~ l'Qrmits are non-transferable and expire if work is not started vi thin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electticul Contractor J t/. J fluwc..J Addl'ess P {) /!;O){ ;13 City /f{bcuU-/ Phono(5<h)qJ,g,1Y15 , oJ _ Supervt$tIr License Numbel' ~a.:?.':;' Expiration Date ID-I-OD Constr Contr. Numbel' ~.;\ -.3 ('.' Expiration Date /0 -1.11 Signat73~ !~~~f~~e_cttidall Ovners Name (3T1;.fi !J,I-IICA6.lUH; Address ,:J.,013 ~c., $:/- .ga ,;1,/1 CHy S,pu.~l~,L; Phon.. 7;;J.,&,.QS&(P OVNER INS1'ALLATION The installation is being modo on property I ovn vhi~h is not intended for sale. lease or rent, Ovners Signature: --------------------------------------- DATE: RECEIPT ,: RECEIVED BY:. HQV-12-1998 10'00 3. COMPLETE FEE SCHEOULE BELOW A. Nev Residential-Single 0< Hulti-Family per dvelling unit. Service Included: Hemo 1000 sq,ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Homo. or Modular Dvelling Service or Feeder .B. Services or Feeders Installation, Alterations or Relocation. 200 amps or less 201 amps to 400 amps 401 amps to GOO amps 601 amps to 1000 ~mps Over 1000 amps/volts Reconnect Only Cost Sum $ 85.00 $15.00 $ 40,00 $ 50.00 $ 60,00 $100.00 $130.00 $300.00 $ 40.00 c. Temporary Services or Feeders Installation, Alteration or Relocation 200 amp~'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 VOlts D. Branch Circuits $ 40.00 $ ~5.00 $ 80.00 see "B" above ." Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or reeder Permit ~ E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting l,imi ted Energy/Res Lim! ted Energy /Comm 5. sUBTOTAL OF ABOVE 5~ Stale Surchn<ne 3% Administralivc Pea TOTAL $ 35.00 35.tD $ Z.oo tfcO not jncluded) $ 40.00 $ 40.00 $ 20.00 $ 36.00 .3q CD /.q., I.,'j ..- L{,;J../:L P.11l11l2