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HomeMy WebLinkAboutPermit Electrical 1999-7-13 (2) e SaGFIELD ThE tol/owing project as sub ' l"'ll/19 and does not reqUi~Jtted h.as the fol/owing . c.i-'j.Jloval specifiC lana use Zoning, wrt- '';{/i7;,QQ Vh)(' U """'f 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 9 7 4 7''l'-''ZbO Signature 726-3769 , ELECTRICAL PERMIT APPLICATION l,l ty Job Number crq n 71 0 3. COMPLETE FEE SCHEDULE BELOY 1. LOCATION OF INSTALLATION ~(pJd8 0M4'1 #?-.j --i!tfl~X!1flI8N /5f1) OJ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 Sq.~~ r portion' . t~ C:fO~ '$ 15.00 E~ ~,4J~~~8;QOIb'~o' . Service~l~~& S/~_ ~I>'~ 40.00 . ~Q'h &O~ v~Q. :9/-1 ,B. Services or Fee'cR!~ 'l'JO.!l .~~~~ 1\11>' Installation, Alter~~p~b'OH/~OQ Electrical Contractork~ iCJ/Jr;-ll/G 1Ca..ra//.-IU. or Relocation: vVb'..::,>> _"'4.111>' : , .~ '7o'S/J Address O.o.I>O'? J.Yf13 200 amps or less ~I.JO't"-so.OO, a 201 amps to 400 amps ~ 60.00 City 7A.p...P/I~ PhoneJai't''/6/J? 401 amps to. 600 amps $100.00 LI 601 amps to 1000 amps $130.00 Supervisor License Number 3 '197 S Over 1009 ~.mp's/yol ts .... u. . S,3QQ .QO RecorRi~l~N0M-I~:Oiagor'lcm ''''1U1rssllljuob follow rules adopted l.Jy ,i Ie Cregan Otillfy T em ~~i!Jjii~ti<S~ ~VJilt(E:rS Ta~S'F e'e'@€L~e set forth Ins tra.IDlWt!i!@'n-pOA-J.~~~~li.Q)mro9Aa~%~-gp~ on 0090. You may obtain copies of the rules by 200 all1:P-lslr'JDmhilie:sslter. (Note: the tE$er4t(!f.lr(!J'0 v . 201 q~R'f'Ib~ptc4~~.3 '~m!p~on Utility NStIM:\UlOl Over 401 tQ;eMLQ j@.IpPj$)Q-332-234$).80.00 Over 600 amps or 1000 volts see "B" above JOB DESCRAPTION ,J-I.f/~ V V ",",-, () , . f Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY . ... ""-. Expiration Date Jo-J- Of C. Cons tr Con tr. Number .......1~' . ~cS'7C.?~ Expira tion Da te J;:)... - .3 0 - 0 0 Signature of Supervising -r;~ '-' AcM . I .-- Electrician D. Owners Name r-Jft..u~_ ~v<+ Address ~~(<')O ~;l.--1 Ci ty2ptZ(~ Phone )l/I:.;-)/JO OYNER INSTALLATION . .! The installation is being made on property I own which is not intended for sale, lease or rent. E. . Owners Signature: . . ~~~~;p;(Ttq~-~i~-;------------. RECEIVED BY: 'j:.. "riL(i ___ I - -' 5. Branch Circuits Items Cost Sum $ 85.00 , " New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit J Each Additional Circuit or with Service or Feeder Permit SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 :~'\ '00 $ 2.00 not included) $ $ $ $ ~".() 0 j 7-:.:i O~ 40.00 40.00 20.00 36.00