HomeMy WebLinkAboutPermit Electrical 1999-12-10 (2)
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SPRINGFIELO
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The tollowing project as submitted has the tollowlng
zonmg, and does not require specific land use
approval.
225 FIFTH STREET Zoning L-D fL
SPRINGFIELD, OREGON 9740Jte 1"2.-10 -"I "\
INSPEcrION REQUEST: 726-'769 _/ \
OFFICE: 726-3759 Autfiorrzed Signature Cf'M-J
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION ~
17 n 2-- ~S ~ I.{. 0 =5'10()
JOB DESCRIPTION
t...:) I..f-.L k P ("! .L n . "f II t. *P.-
Permits are non-transferable and expire
if vork is not started .ithin 180 days
of issuance or if vork is suspended for
180 days.
'" "'""'RICAL PERMIT APPLICATION
Ci t)' 'Job Number qq I 5 '? '),
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3. COIlPLETE FEE SCHEDULE BELO\l
- A. Ne\.' Resiciential-Single 0:-
Hulti-Fam:~y per owell:n& unit.
Sen'ice Included:
1000 sq.ft. or less
Each additiQna1 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder'
I:ems Cost
Sum
S 85.00
S 15.00
$ 40.00
2. CONTRAcrOR INSTALLATION ONLY .B. Services or Feeders
Installation, Alterations
'. ~lec tri cal Contrac tor6::!2Et",irl~~rvlc.t. or, Reloca tion':
, Address \)0 ~n ~ ~~':("1 , , ',. c: ~2.QO,ampl; or ,:tes;.. .,: ,$.50.00
,...; .:. .:- ," ,..,' :' ::.. '-",'::-. '.';'-"",,~~')?Ol-!~p~,~ to.;:400;.a.tppso ;;::. ,~"C:$:::60.00,./. uu. '..' .
'..>'0 ~ltY~~~~hone'~4:~ "'.Ilk': ~"::'~;:Ci91i~H~~t.~,.60().;a!1'p..s,.;>"~:" .. SlQO:W: .' ..~:':,:="",::'.
"'~"::'_:'<.:" '::~~'.\. ::L.,"-,',,:, ~:i::<,;;,::cf:' ;~;";;'<~iE';r..;,~J-"amp..s~~~J=lO!l()::amps~':~... ..."'2 $130=.00... c:' ., .< :.. '.,.
~~..j::";:::Supervlsor:Llc,ens.e Number ~'"iS&...'" .'.;,'::::-,:,'Over'1000 amps/volts' '. $300;00, '
. '... . . Reconnec t Only S 40.00
Expiration Date \0-0\ - D\
Cons t r Con tr. Number ::::'I.S<CI"\ \
Expira tion Da te Q - 14 - b('l
Si6D1ture of Supervising Electrician
7JM/Vl/t...o/k /(~ lk/
,
Ovners Name (<:>CU'-~ l IV'.. (' A"',.,LL)l~
Address ' ~
Ci ty Phone ,Ll:b- a\~
O\INER INSTALLATION
The installation is being made on
property I 6"'n vhich is no: intended
for sale. lease or rent. .
e!1ers Signa ture: ..,... -. ,.. . .. '
DATE, 12-10' "1'l_ '.
RECEIPT #.. . CY 1<1." './-. ..~ .
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C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amos"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circui ts
$ 40.00
$ 55.00
S 80.00
Vo~ts see "B" above
Nev, AI.eration or Exte~sion Per Panel
"
One Cireui t
Each Addi tiot.al
Circuit or ~ith Service
or Feeder Permit
E.
-L
S 35.00 o":S 0-<,)
S 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump 0: irrigation
Sign/Outline Lighting
Limited Energy/Res
Lillli ted Energy/Comm
5. , siJBToTAL OF ABOVE
')~;State Surcharge
':3%tAdministratlve~Fee
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S 40.00
$ 40.00
$ 20.00
S 36.00
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