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HomeMy WebLinkAboutPermit Electrical 1999-10-5 . - "-'~:1". ATTENTION:J:::gc" ,aIM reC'~lra& }Ol' cv follow rules adopted by the Orero'1 U!..iy 225 FIFTH STREET NQtificetion Centor. T'1C~" fu!aSt'rJ;!4.Q'FR:ICAL PERMIT APPLICATION SPRINGFIELD, OREGONh9J'l'l'9"1'r.~ P~9J't9W.::.~:l"il,1""I)n'f1 ,',rOII(l:' OA:=l952-001- tje;IJ 3 '/ INSPECTION REQUEST.zon"l"'I!'~~'nOI'reqUlre'SRaclfIC lanu u.a C't ,T b N b . 'app(d~IlTtlo:.;;'u. YOI' m~lJ,p,'1tam copies of th" "'~;))s-!.9 um er OFFICE. 726-3759 II"na~"~cr INot-'lhpl-:10nhone ZomrlQ'l' " ~ ~, . ~ _ -:':lWlJ:R'!;R :FEE SCHEDULE BELOY 1. LOCATION O~ INsw.LAp:.Q~um~.kSh;:'t:rO.:1 ~_I~T~~~L1Irr;a:iIUII 10)'f 171'/ /?ll.ddM!. L:/J t.,ei;~X"A~'-"'New"R~)sidential-Single or " ... .-- ...f"-...o '. LI I~i-Family per dwelling uni t. LEGAL DESCRIPTION V. Service Included: / 7 0 ~ ")."34<1' ()S"'ftJo Items Cos t Sum 2. CONTRACTOR INSTALLATION ONLY. .B. Services or Feeders ~ Installation, Alterations Electrical Contractor . or Relocation: Address ISPERMlTSHALL~1m=f~l~~os / AUTHORIZEDUNDERT~P~1 ~Nt\fo amps Phone -oMtnENCEDORIS~~~FQR 600 amps / '^'. 6bT amps to 1000 amps Supervisor Lice7nse Number ANY 180 DAY PERIOD. Over 1000 amps/volts Reconnect Only Expiration Date Constr Contr~Number E. . /D xPlra?on . ate Signature of Supervising Electrician ( JOB DESCRIPTION Ilnt>AI/ AM-Ir... :z c./IZ.C.... ,15 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. City Owners Name ~bb7l-T JlFr4,r Address 1f):Z L{ 0/ ~ O/l.d,,"/ LA/ City_ 5/Jp/f) Phone '-1(,5-502'- 01lNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ~.I ,Y, 1!4r, -------------~r.-----~----------------- DATE: tOf ,( if 'i ~ RECEIPT 11:. (I 1t'1~ 1;1(,1) . RECEIVED BY: M (,/ ()../ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder $ 85.00 $ 15.00 . $ 40.00 $ 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 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel 1 $ 35.00 3J-o<> Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL I $ ;l. 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 170" 2..5'1 I. ~ / 'I~. 70