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HomeMy WebLinkAboutPermit Electrical 1999-10-28 The following project as submitted has tha following zoning. and does not require specific land use 225 FIFTH STREET approval. LD ~ SPRINGFIELD, OREGON 9747'loning INSPECTION REQUEST:DafO'?{; ~7!;O \ O. ;l ~ .q 7 OFFICE: 726-3759 A th ' d S' t cr u onze Igna ure . l-vnn..ETE FEE SCHEDULE BELOY 1. LOCATION OF INSTALLATION \ \ . ,). ~ II <..j \ ~_<\:: f' '" -z: Il... ;-\\..J,-,\ . A. Nev Residential-Single or , sos;d <3't'\- Multi-Family per dwelling uni t,. LEGAL DESCRIPTION ~ Service Included: Ii 0;;:) ~f., ,":30 OJ ~O() Items Cost Sum JOB DESCRIPTION,l N\f\",uS:<.n r J,v-...... 't'c:O""-"-- 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 Elec trical nlJJ~ / Address Ci ty Supervisor Expiration Date Si ture of Supervising Electrician Owners Name, ~.\ an....' ~p c Ie- Address S'1:::L.D ()..J (' ~ rn &+ 1cfc-.1-(oq~1 Ci ty ~(; (\C.r~.Q'~Phone , 01lNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: '\..~sv..."':'-' '-Q"" ~ -----------7T~-------~------------- DATE: / (J :;::Ji(' "--LI - ""' RECEIPT 1I: _ ( }</"/J/ J5~ , , RECEIVED BY: / ) .-, Y!rJ('/7a CI () ELECTRICAL PIOOII~PLICATI03 City Job Number Lf'Q/d6 .', 1000 sq.ft. or less , Each addi tional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling 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 $ 85.00 $ 15.00 ~ tin, -- ....(}JIt.,- ,$ 40.00 .:wL..:- $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above , . Nev, Alteration or Extension Per Panel $ 35.00 One Circuit Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL " $ 40.00 $ 40.00 $ 20.00 $ 36.00 i'~D - h.l&- <9,uo 4!f>tz. -