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HomeMy WebLinkAboutPermit Electrical 1999-8-25 225 FIFTH STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number 91 ()CJ'iSC; OFFICE: 726-3759 1. LOCATION OF INSTALLATION ..If?'-9 "P/ON"eSL IiPJe/LJ.v.%/kSr LEGAL DESCRIPTION j 7e:5 24. 2-J ~Z'!,8/ JOB DESCRIPTION MtJ1J/fr 6<'/~74" CIA!(l/.//T-r 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 ,B. .t::j..... .~...;;(. tk,,,&"~rl,v~ Electrical Con'tractor .ssel//c..$. Address ~.,/? =:""y6LP<ss' ""b~/UC5 Ci ty Fl/6(!'f".wt5: Phone 91.S -.39a, Supervisor License Number ~39$ Expiration Date L6-8.:1-".;1' Cons t r Con t r, Number J.3373 Expiration Date Ifi5""" -~? - e~ Si~re of Supervising El~ctrician #____' ~/a'~~c,c - ........ t..U __. UN3'LT Ovners Name,gJou"):Jt_,<;"" -C.7~ Address :2 -=; L? p~I./n~ Aif-, Ci ty Gfl{77f'1C: ~Phone5.42 :"'2/~ 71 OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ------------------,~------------------ DATE: <;5/2-5/7 9 RECEIPT II: ~ S""'"'1 ~.15 RECEIVED BY: ~-7A_~ 3. COHPLETE FEE SCHEDULE BELOV 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 Hanuf'd Home. or Hodular'Dvelling Service or Feeder .$ 40.00 Sum 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 $ 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 $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits .' Nev, Alteration or Extension Per Panel """""=- $ 35.00 J., :;,4 0 One Circuit Each Additional Circuit or vith Service or Feeder Permit ~ $ 2.00 ~tro E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 40.00 40.00 20.00 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ .>.7: 6"0 <; ,';;17 /,-n- / ~ ""7'/"1 'lO~.'