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HomeMy WebLinkAboutPermit Electrical 1999-4-19 fho following project es submitted has the following lonlng, and doas not raquira spacific land usa Opproval. / " Zoning ~ ) f2- ~~. J/-,etf-<=7 &j 97477- . . 7~~Slgnalure _~ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION <gq I DI d 01'(' /w rd ~ LEGI)l.. DE:;jCRI1?TION .., ) /7 () ~ 2- 5<f ~ 0,. OtJ ELECTRICAL PERMIT APPLICATION C;ty Job Number 3. COMPLETE FEE SCHEDULE BELOV 7<6I3J'/ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders . , Installation, Alterations Electrical ContractorL);v'~76;'~' ~/~rtr~nL~or Relocation: rr~Nr Address p, <2....-'R /)" "...Q.6-!/rt fo"o~,~N:.oreg0200 amps or less S 50.00 rvOtificati adf!pte riOON~s to 400 amps $ 60.00 City t;., "'1" t1.0 Phone 5.~O~~flt&r. 7id~€i'f!!)p,!fe~~09W2. amps $100.00 u090 \'0 01-00' hC6Q>lr.~OOQJtltRUO amps $130.00 Supervisor License Number ~gll:IJ;.::t/r,'l!aIlObt 1.0th~ O~~hvOlts $300.00 numb' nacant amccPp/50n e(J~;: $ 40.00 Expi ra tion Da te /{) / q q arfortha ar. (Nota: ,!rt.Of tha rut s ~- l.anteri OrElrJon lJ.~ filap,;dft:.eiR;,ices or Feeders Constr Contro Number Cj~/<I,'5 S1-800-aJ.ii' a/})liWeJ.D~, Alteration or Relocation Ji!' 344 <"'on ~. / If) 0 200 amps' 'OT less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above JOB DESCRIPTION . I no) VI) //-/11 P ~. 11'1'-1 r It' ;-td Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Da StJJ1I 'sing Electrician ~ Ownel's Name tl/771rL 13, /-I/Jrn,f Address 'P.IO. ;R".,)[ 7<17"5 City~o Phone 1t./~-7.1"J{) OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ------------,-------------------------- DATE: . ..rI,,/'ff RECEIPT if: ; tHHS"l /1 RECEIVED BY: tU' We-/ 1000 sq. ft. or less Each additional 500 sq. ft or portion . thereo f Each Manuf'd Home, or Modular 'Dwelling Service or Feeder D. Branch Circuits Items Cost Sum $ 85.00 $ 15.00 $ 40.00 ,. New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 no t i neluded 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 $ 40.00 $ 40.00 $ 20.00 $ 36.00 .- 2 O.9fZ-- . 1J). 00 1.00.. <l.f Q 1.-1. U 0