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HomeMy WebLinkAboutPermit Electrical 1999-12-7 ,'. . The following projeel as submitted has tha following zoning, and does not require specific land use approval. Zoning L. h (2- 1'1.-,"<; " 97l/l"'}horized Signature. cK...) 726-3769 Date ~~vl~~ PERMIT APPLICATION 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 7'1//47 City Job Number 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION --1:..7 S - Nt CIMUtf VI. A. New Residential-Single or Multi-Family per dwelling unit, Service Included: LEGAL DESCRIPTION /"7(93 ~2-/2- fBJf/J..,~ Sum Items Cos t .J:!..{J 1000 SQ. ft. or less V $ 85,00 Each additional 500 sQ. ft or portion ~ thereof -..:J:.. $ 15.00 Each Manuf'd Home, or Modular 'Dwelling Service or Feeder .$ 40.00 JOB DESCRIPTION {t'1t1/~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contractor~~IJ/? ~ Address;2 70S! -4 ."') J:2 L/J (' <r ~ , City etA Ylcr; /j Y\. Phon~ t f( R 'I ~1'/ t7 . Supervi.sor License Number r2 06 (, 5 Expiration Date 10,/a VOl Constr Contr. Number :1 O-LS::?C- Expiration Date /c>/r>i/F>/ $~:/7~!:rician owner~ame~ Ym,/ Address 00 Services or Feeders Installation, Alterations or Relocation: ,B. $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation C. $ 40.00 $ 55.00 $ 80.00 see "B" above 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits D. New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit Ci ty Phone 12";" {),S -12- OVNER INSTALLATION $ 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 2- -sn 7% State Surcharge i/.' , tD 3% Administrative Fee 7. '70 TOTAL -7_ '::i ~ . .::... --' ..>, The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- 12 - ? - 5' f -:?&" 5~_ .) ,cf~~'1 DATE: RECEIPT Ii: RECEIVED BY: