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HomeMy WebLinkAboutPermit Electrical 1999-11-2 -. , bmitted has the following Tl1e following prOject as su ire specific land use zr)n\flg. and does not requ 225 FIFTH STREET approval, () YY1.0 1lLECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ZOning \ \ _ d. -90 .6.o../_4:'""/.r- INSPECTION REQUEST: 7t,~f,,3769 'vi 'y Job Number '7/.r;"h"=> OFFICE: 726-3759 (\p * J.\ulhonzed SIgnature _. ~ j. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION 474f) fYla/J'J Sf.. A. New Residential-Single or Multi-Family per dwelling unit. . Service Included: LEGAL DESCRIPTION /7~?'3"::?V? ~/~J JOB DESCRIPTION in.<:;f11/1 :<=;eo.l"n't-v / Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. It ems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Sonitroi Security or Relocation: Address P.O. Box 21009 Ci ty Euuene Phone 461 - 5678 Supervisor License Number /t,flC/ R..E. r Expiration Date 10 -/-qq 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 S 60.00 $100.00 $130.00 $300.00 $ 40.00 Cons tr Con tr. Number 65149 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 6-28-00 Si~;;r~~ Electrician Owners Name .<::n/rJ,,, fn-ff'..rpr'-,<f'-< Address~4() E. main sf Ci ty 5or/n:JP;dd Phone 747- 79t){) , OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: I" A. ~~ RECEIPT #: ~C.....7.,-r RECEIVED BY: /,i,/.?""""""-- '/r-' 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 S 55.00 S 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limi ted Energy /Comm I' 5. SUBTOTAL OF ABOVE ~% State Surcharge 3% Administrative Fee TOTAL S 35.00 S 2.00 not included) $ 40.00 $ 40.00 S 20.00 S 36.00 :3'=> /JO .;1..5;,1- IO'lr . =?9. t;,r) ~t. <nl