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HomeMy WebLinkAboutPermit Electrical 1999-11-4 [I . 'If '/~ S' J8".hSPRI.,ELD The tollowing project as submitted has the tollowi zonmg, and does not require specific land use approval. Zoning lpIL- 225 FIFTH STREET Oafe \ 1- <-\ - "I "\ SPRINGFIELD, OREGON 97477 , ~ INSPECTION REQUEST: 726.!37~zeo Signature OFFICE: 726-3759 1. LOCATION OF INSTALLATION // 7771 (')L/7 (]~1J LEGAL DESCRIPTION !1()"5':2--1QJ tJqr;()/ JOB DESCRIPTION T-ftM' ; 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 Address ./ City Phone ~ Supervisor License Numbe~ Expiration Date / constr.~~~mber EXPi70n ~ate Si~ature of Supervising Electrician Owners Name /krn.J /4., (~ / z 5'/ ~(l Address Ci ty 2:.,,<//-, .? OYNER INSTALLATION Phone ];2 -1'1/1) The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: fox'::' (: . f.("'-./ ------------7------------------------- DATE: ///.. 71' RECEIPT II:: Ujf,rl'i' 7' 1/1 f/ RECEIVED BY: ..uI t.</ ...v 1o;/y~O. EI,EkTRICAL PERIlIT APPLICATION ~~Ll Job Number~ -<:.. " 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling Service Included: uni t. Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular 'Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: .{VPS(..~t:'E-'}v':- ,. ~! _'''I...<J~ 200Ba'liips,1 0 f':'l'ess: d' 0 'L'~ 101 lAQ1SnSO . 00 201:amps' to' .400 amps' '$1::'60.00 ~L40l:'rampslto-600 amps' '. . '\ $!LOO\OO _L6Ql'.amps. to 1000 amps' $130.00 .!)yer 1000 amps/vol ts $30Q.00 '\\!,c.<;>pr.eSO!;Q!!1y", '...' d..,$,I!<P'OO '"4110/. ~E:.llq"'"l' 1',1-""1 'lr, _. ,,"!' " C. Temporary Services or Feeders Installation, Alteration or Relocation N011ClEi00 amps' 'aT less / $ 40.00 c;.o I HIS PER~lD'81i1ll1Il'8lj01~Wf!PW':','1r. $ 55.00 AUTHORI~~N"'Q,b,t.9, 11J,P'~L $ 80.00 -/Jve'1: 1;'00'!frl/~ !:UOO""'Ol ts see "B" above COMMENCED OR IS ABANDONED FOR ANY~OD~fl'ERIo{3!.rcui ts 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 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE '-/0 7% State Surcharge J..-~v 3% Adminis tra t i ve Fee (. u. TOTAL '1'f,<9f)