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HomeMy WebLinkAboutPermit Electrical 1999-2-12 d nas ttla 101l0Vllng , . as suM1Il\e eellle land use ..c~ _ I\\g .:-- 0C\ - 97477 -;-J...(___ h,~J~\ure~ 3. COMPLETE FEE SCHEDULE BELO\l 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATI<)tl OF INSTALLAJ,ION ..-L1..V=; .f/ ;/) 11 C?e.r ~ I< LUIJJ,.! LEGAL DESCRIPTION CO~ U~F - n 03 35 3> I o(tJ560 JOB DESCRIPTION ,,10 /-j~:" OJ - Permits are non-transferable and expire i,~l(,,!orkR~.s not started ",i thin 180 days of i~ruance or if ",ork is suspended for 18.oIEd:aY~MIT SHALL EXPIRE IF THE WORI( .\ ~ UTU,",DIi'C'Q I Jt..ID~o TLJIC' !'l~n~ nr If" ~ :,....- 2: . CONTRACTOR INSTALLATION ONLY B. CC~, ", 'I:\rc~ r" OR is f~8~~:r ,f", '-! t ", ':-; Electrical' Cpn,tractor t..~ ~ (}.Q;P'u'c.- Address Cle901? f'V1~ rU- Ci ty ~~.D'PJL Phone '7 ~G; -q g 'f'7 -, u' ' Supervisor License Number ~~?6 ~ ., , Expiration Date L6-()J-of / , Constr Contr. Number () r 0-d -?,n-r Expiration Date 4-~~- qq 'i~;::_Of~'::'i", ""',i,'" ~"'ners Name k',~ .") tVI PRA../ Address /;f,? ~1 e .s 7 Phone 7~ ~5J-9f:, City ~f2- 01lNER INSTALLATION The installation is being made on property I o"'n ",hich is not intended for sale, lease or rent, Owners Signature: DATE~t7~-~LJi1--------------------- RECEIPT/ If: ()f:,';) 'i5c::.L/ . . RECEIVED BY:#) _ foNflftnO 0 ELECTRICAL PERHlh APPLICATION Ci ty Job Number VI 0 002.(1) Ne", Residential-Single or Mul t~-Family per d"'eU~n"e~I}<i\t.t,o Serrre~1 f.!)~l.'Ud'El1i'fI laW t1 Q,regon Utility tllow rules adopted by th ~1\b1f1clre set(J.o'S\t o. . center. ThOse R 9~2.Q01' 1'000\C~~"~~!ao101!l0irell1fOUgh O~'1e ~Iali t,e;jO E1iei1l1,<a ifl t ~"n"~la!iOO:>P"'" oj, ne stlqOf OIll!'.:lV""', ""Iole: the tele,P.hO . "Uir"'1~nee~I\\~9,.. UtTty Notification th€r-eop ,h Oregon " , :;; 15.00 EacbJll'lliFlutp, ~ ~Q"ll'Blo:.r,.33't.-"'''.;4), Modular ('D\ffi~nng Service or Feeder . $ 40.00 A. Services or Feeders Installation, Alterations or Relocation: Sum 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or 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 D. Branch Circui ts .' Ne"', Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit I Each Additional Circuit or ",ith Service or Feeder Permit ~ E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL i.. $ 35.00 _C.Jb 3'::>- $ 2.00 ~~ no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 4/. 6 () -),. 55 I . t.J r 5 0 -"'7("