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HomeMy WebLinkAboutPermit Electrical 1999-3-10 The fOllowing projact as . zoning, and doas not raSqUbmmad has tha following approval. Ulra speClf,c land Usa Zoning ~ H A R- ELECTRICAL PERMIT APPLICATION 9~ig~~/b~ 3-11>-"14 Ci~y Job Number q({(S).1 Authorizad Signature K.uJ . ~ C811P1ETIi: FEE SCHEDULE BELOl/ A. Nev Residential-Single or ~ Multi-Family per dvelling unlt Service Included: Items . ~ost,'sum B, Services or Feeders ~ Installation, Alterations c.lectr,.C(Yl~' Relocation: 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 225 FIFTll STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1, ~OCATION OF INSTALLATION q<?S i Un IYl LEGAL DESCRIPTION 1/ () '). :l., d- ()(\O () <10)-- .. ,2~tDES~PTION I \U...U.'1S ic\P AS3CYrr\ , li\J~.' Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~~ AddressiQS Mach~oY) Ci ty Eu~ Expiration Phone 4 \? s- 012 '2. L.. 'j"1()- S- Date Ib- I'~I Supervlsnr License Number 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo'f Each Manuf'd Home. or Modular'Dvelling Service or Feeder $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60,00 $100.00 $130.00 $300.00 $ 40.00 Cons tr Con t L Number 4 ?.S1 ( '" Expiration Date 12'/O-Cf'f C, Temporary Services or Feeders Installation, Alteration or Relocatipn 40.cD Signature of Supervising Electrician ~~ . - /" A,. D, Branch Circui ts Ovners Name "-.)Lln ~:':,I O'\a/Yl~flU-->,r Nev, Alteration or Extension Per Panel Addressd735 17-+t- ,~-I-t'll'.d- ~ O(J ~ _ One Circuit Ci ty, Yi.. J I1..P" Phone Each Addi tional Circuit or vith Service or Feeder Permit Ol/NER INSTALLATION The installation is being made on property I ovn which is not intended for sale, lease or rent, Ovners Signature: ------~--------~---------------------- DATE: ? / ~D..... -\0 RECEIPT #: ~ ~ ~ \ t") . \ RECEIVED BY: , mLu ~()\ () 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see IIBII above 0' $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5, SUBTOTAL OF ABOVE tfr).()() 5% State Surcharge 3% Administrative Fee TOTAL 4 '''; - i'f )