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HomeMy WebLinkAboutPermit Electrical 1999-12-2 . SP.~'ELD The following project as submilled has the following zOning, and does not require specific land use approval. Zoning Date 1'2..~;)'-c;, 97477 \ 7 te~3'R1'9 Signature --.::f L.V l"D tz-. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION 1 'i< '2 Old IJ'f'AJrzl . A. LEGAL DESCRIPTION /?n:1, Z ~ ~ 3 t'):2/02- JOB DESCRIPTION <'NIf fih.{ 'kliffTm-u , 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 contractorDfd,rk,t;,d ?,/r"I1'MtLK Address fJ./J, bpx tl1J61/9! City f"'Q"';11. Phone L./<'{I/-Q07<it' Supervisor License Number _~q/.JI.J;' Expiration Date '10 fOl. Constr Contr. Number t)9: 1L/5 Expiration Date . L{ I 00 . Si1Jft t~Electrician ~ - ~ D. Owners Name -411 ~/f /JIf) Y- f)/(II'/7/JII/;{ Add ressJq'j9, IJ,/Jr1flJ'l Axr Ci ty 4/)/ q'AI Phone L{?it!:'- (}/J '10 OVNER.. INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -------------------~- ----------- DATE: 1)..../1-/'7 J RECEIPT I: 7r.. ~J.h /1 RECEIVED BY: '-" ~ ~:(~L ELECTRICAL PERMIT APPLICATION 3. 94/tJ /5 COMPLETE FEE SCHEDULE BELOV 'I:a. ty Job Number New Residential-Single or Multi-Family per dwelling unit. Service Included: It ems Cos t Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Rome. or Modular.Dwelling Service or Feeder $ 85.00 $ 15.00 . $ 40.00 .B. 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 1000 $ 40.00 $ 55.00 $ 80.00 volts see "Bn above Branch Circuits " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 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 ~O Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 1.. 0' 4/J 7% State Surcharge I. dU 3% Administrative Fee .i,O TOTAL 1.1., {)(/