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HomeMy WebLinkAboutPermit Electrical 1999-7-13 .' . rhe tollowing project as submitted has the following ~onm9. and does not require specific land use approval. ' 225 FIFTH STREET . vf}tZ-- ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonmf () INSPECTION REQUEST: D'1I1647fQ 1/ /'0 ,qq City Job Number ~l.qJ1K04. OFFICE: 726-3759 "",nur".o Slgnatura /?oy I U 3. rOuPTRTE FEE SCHEDULE BELOY 1. LOCATION OF INSTALLATION lQ.lo3 1\.llA-110 \oj. I-;;l. A LEGAL DESCRIPTION Not'~~ -< s t,lkE,~J~ ' =r~~~~p~M[r_\S.~T I"NeED OR IS J'AI::tU.)~~'t.r.t" P~fs a~~~5Dtransferable and expire ~~~~s~rroY s(arted within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B, Electrical contractor1\'l(,~ \~ CLC~"T~<:'" Address 3?Z;J ~~ '/lD Ci ty f.,,~ Phone \<)~ ffi" Supervisor License Number 3<C-<J3 <;; Expiration Date 10/61 Cons t r Con t r. Number 1031./ r 7 I z/'7~ Expiration Date Sign~ure of Supervising Electrician /GJ~LP Owners Name~r,,~p~<,lJ l\A;o\.)\? ~<\."k. Address \Va"'" I~ Ci ty S?( I h..?- W Phone OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ------7--r----------------------------- DATE: ~//<)-7c; ....../1 RECEIPT 'J!: ~A.:, J"\ RECEIVED BY: n. rYl ~ r>h '('L:.), <oJ New Residential-Single or Multi-Family per dwelling unit. Ser,:vlilQ~f~In(')'uded ;'n iawf ' . rt.n't...........gv '?9.U1res YO''':' to 10~low rules adopted by the 'CPe'1lon uln?t~ t l~'6W!calt~E C.ergfr,'-~h~~e rules are ~e{f~rtiJo ,fl~l~q\",.!('Ol-\lQn..~:ou - ''''952 ~~lb additional::lOO ~"vrm -001- sq~. . ~.Pu(wCJ~3f'alb'rFoPies 01 the rules by th";~~2flne cemer. (Note: the telep$oIHi. 00 Ea'SilIlMallWlt'd3 ffil!j\~()atJlIIIlY I"otitication Mod u la FttXfei'll nOg'J0-332-2344). Service or Feeder .$ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation t../o . cfi A. 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 1000 amps/volts Reconnect Only C. 200 amps' 'or less L 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 see liB" above " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Servi~e or Feeder Permit (~ $ 35.00 $ 2.00 J),. (JL) not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E, 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ 5::2. (J?) L - G. (.) 1 "S (p 'b/~ /~- 40.00 40.00 20.00 36.00