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HomeMy WebLinkAboutPermit Electrical 1999-10-15 , s submitted has itle 10llQwing prOject ~ require specifiC land use z;mlng. and does no . approval. , ~/l...- ZOOlng ..... "" "I '0-1.... :;;t;J D::lte 97477 . zed Signature 726_376~on 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATIOtl~F INSTAltLATION _ U'Xla LJj('ho/CJ~ SI -, LEGAL DESCRIPT.10N /703 d-;::}-.. / J-.. 0046,)"" < rIOB ,9I}SCIq:PTION /1 16<'>/ d~,-<- Permits are non-transferable and expire if york is not started vi thin 180,days of iss~ance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. '..,.. Electrical contractork/&~rfvi-.;titc.. Address.po...eO~ 'f2IGz... ~~"f:'J Ik ...,7'!4?" City_~~"",,{:!.p Phonej)"R'X"-r40' Supervisor License Number ~/~~ ~ Expiration Date /Cl/t}//C}/ / Constr Contr. Number 2;;....13S-C- ..Expiration Date /",I/~() Slrft of SO:~'.O'dOi= ovn:rs Name Lf!L~r .JJonf.V),-.. D. Address PO. .6 6,;(. 40&"0(, ciJi,1~ Phone 3i...J~ -;;.010 OWER INSTALLATION The installation is being made on ' property I own which is not intended for'sale, lease or rent. Ovners Signature: ----------------~A-OO------------------ DATE: /C) - /5- -/ ",' RECEIPT #: W.') '10 '-f RECEIVED BY: 1';. 1YIa.l'htiJ/.. <> ELECIRICAL PERMIT APPLICATION City Job Number qq -/ /;rq 3. COMPLETE FEE SCHEDULE BE LOll A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Sum 1000 sq. ft. or less /. ' S 85.00 I(s:'.- Each additional 500 I sq. ft or portion , thereof I $ 15.00 /~ " Each Manuf'd' Home,or Modular, 'Dwelling Service or 'Feeder' .$ 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 10qO voLts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel One Circuit Each Addi donal Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not include~) -Each installation Pump or irrigation $ 40.00 _____ Sign/Outline Lightin~----- $ 40.00 _____ Limited Energy/Res $ 20.00 _____ Limited Energy/Comm $ 36.00 _____ ,100. f57.J . ',. fTO J.170 IIU- ()v 5. SUBTOTAL OF ABOVE 1qoState Surcharge 37. Administrative Fee TOTAL