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HomeMy WebLinkAboutPermit Electrical 1999-2-12 , . ,I . 0 oWing prOJact as :~~~~~~~nd dOa: not ra~~:'~~~~~i~ t,:~~O~~:ing . . Zoning -i l b rt.. Data .;, . - J)\{ -I::l. -Cl.., 225 r~r'D STREET A"~ SPRINGFIELD OREGON 9/J."I1d Signature ~ , . INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 02111/98 10:22 '5'503 726 3689 . 1. LOCATION OF INSTALLATION j ?:l'5S OI&.J LEGAL DESCRIPTION nO'), ;).5 3J.. 10 +0'1) JOB DESCRIPTION, , ntJ,,") 'S..eA.A~; i , Permits are non-transferable an~ expire if york is not started vi thin 180 days ofissuanc:e or H york is susperded for 180 days. ! i 2. CONTRACTOR INSTALLATION ONLY M~/?;14 Elec:tric:al Contrac:tor ~",~~j~ Address d/7S- kf 2~A-y.' Ci ty ~/ ~" ..d. Phone 3 Y:}-7 Z. 9.7 ,? ,....L Supervisor Lic:ense Number ~~~-;> / D/99. /72-52 /D/9,/ Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Elec:tric:ian ()_ ".4 ./ / .........~ .r~dY'7'~4 ovnerUme 'T.trrt.L<=o: kJ.-c...e~ Address_I?"c,<; ~I~~ U Q ! Ci ty~ Phone l' OllNER INSTALLATION The installation is being made ~n property I ovn vhich is not intended for sale. lease or rent. Ovners Signature: iiATE;~------c;:t(4zrr--\; MCEIn,,: //' 'r ' RECEIVED'BY: - .0 iTl "" (/A /\ SPFD DEV. SER. . Il!I 001 Sptl~~ELD ELECTRICAL PERHIT APPLICATION ~ City Job NWllber qq fJOC/9 3. COKPLETt FEE SCHEDULE BELOV . A. Nev/Residential-Single or Hur~4uF~~i~y~~~.,pvelling unit. S" ." r.I"'1 d d' ',.,un la eC1f,l;c.et,~nc: 'u ." : Wrequ' "C"d"O -"'''d b Ire 'n OAF/95 n Center. T'h Y t~Jj~ s Yao~ Sum 009n,v. 2'001'00< oSe rUle gOn Uti/it,:IP _ 10.9~iSql/f'[,~y BE.l~SII'OUnh ~.are$:€eR:,./~O f5, t;i1u1H~Rad'i~t~e,wt,;)~500Pies -.,"1952'00/1, sq. f.tfcorhJ!ort'1ollJte' th o'ithe rU/es..b <11... _ thereofnt~ri uregOnUtir. eta/ept~n1:J.bo 'f'].5", Eac:h Manuf If 1l611i~,'oJ2I'J ,vOMicar .. Modular,'Ovelling v '2344). IOn Service or'Peeder $ 40.00 .D. Ser~~c:es or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 ,'T ~01' amps to 400 amps $ 60.00 " 401 amp.~to_ 600 amps $100.00 601' amps1'to. :1Q09ll"1'1P~u<= '''''Ar$130. 00 Over .1000. amps~volts .- 5300.00 Rec.onn'e~iP6alyo;l.:) PER'l" I;:' 1\015 40.00 ~ r:'" \. - "\" -. 1 -....n . . -' .'-"-'I._.1IJ-;),., C. Temporary Services or Peeders Installation; Alteration or Relocation 200 amps' 'aT less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 voits see "B" above D. Branch Circuits .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Servic:e or Feeder Permit $ 35.00 $ 2.00 E. Hisc:ellaneous (Servic:e/feeder not inc:luded) -Eac:h installation Pump or'irrigation Sign/Outline Lighting Limited Energy/Res ----- Limited Energy/Comm 40.00 40.00 20.00 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ lJlTD . - ~ ~.- .:b 3, - fI'()'t:, -