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HomeMy WebLinkAboutPermit Electrical 1999-4-29 U>(2...~ 'd-~- ~ 225 FrITH STREET SPRINGFIELD, OREGON 97477 INSPECTION RE 1~u-3, OFFICE: -3759 . LOCATIONO'iNS~LATIO~ ) _ /, >< c:z UnU/" A b0' ~_ r? ./ ~ DESCRIPTION ~ )fl& 'L O~ f.i 1-:r-~oO, JOB DESCRIPTION 7~/J ~ Jkx:! , ~ Permits are non-transferable and expire if vork is not started vithin 180 days' of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician ~ ." Ovners Name - I ~ !/ // /'J J::S Address /?o. ;;2 -3 7 Ci ty ~ -!t:.J Phone 7 t/7lT?cJ r tI OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. ovners~: ~~~~:~:~-~--4{j1~~~~::---------- RECEIVED BY: -.. /jJy-/?~ Cf'/V' - ( ELECTRICAL PERMIT APPLICATION Ci ty Job Number , 990.1 51 3. COMPLETE FEE SCHEDULE BELOl/ A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular 'Dvelling Service or Feeder $ 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 , Sum $ 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 Circui ts $ 40.00 4:L1-tX $ 55.00 $ 80.00 see "B" above Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump oi irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One \'::ircui t Each Additional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 4rJ,~ 2""" /.,),0 1J,2.0 JOB DESCRIPTION -r~/J ~ 'he! I' , ~ Permits are non-transferable and expire if vork is not started vithin 180 days' of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician ~ ,', Ovners Name ! ~ (/// fLJ:::~ Address /?o. ;;2 -3 7 City~-!t:.J Phone 7t/7'irZcJr OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. ovners~: ------~---~---,-7.----~-------------- DATE:_ 4/2-'1/'7 ') RECEIPT II: ~ ~ 7'?1f RECEIVED BY: - -. /!/YA/O ,,\rV'- ( ELECTRICAL PERMIT APPLICATION City Job Number 3. COMPLETE FEE SCHEDULE BELOl/ C/qO 15'7 . . A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 200 amps' 'or less ~ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits . . .' ;~~I~~'oa~~gd~~~aCI ~s submitted has lhe following appro.'a;. no require specific land use Zoning LD!L- Dale /1:1- f).. "'I ~ '7 '7 225 FIITH STREET '10th' SI . " . I SPRINGFIELD, OREGON "9'1i.o/T9nalure I"V.AJ INSPECTION RE ILo-~l OFFICE: -3759 ~ t'IY\4on LOCATION ,O'iNS~LATtOR- ') ~ l' c:z ,l'/nf -7 4 b0' ~).J -DESCRIPTION, '~ J"MZ CXoi?J / <+ -r:5300 ' 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf/d Home, or Modular 'Dvelling Service or Feeder 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 Items Cost Sum $ 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 $ 40.00 4:L1-CO $ 55.00 $ 80.00 see liB" above Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or' irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One \'::ircui t Each Additional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 4-r-J ,~ 7.""" /,Aa ,15,20