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HomeMy WebLinkAboutPermit Electrical 1999-3-9 . , bmitted has Ihe following , The following prolect ~s :qU ulre speclllc land use zoning, and does no r approval, AI) (2.- Zoning . 0> <::: '3-C; -, ) ~ 225 FIFTH STREET SPRINGFIELD, OREGON 91JaYri./ INSPECTION REQUEST: 7"tf\io~lJil9slgnature OFFICE: 726-3759 1. LOCATION ~ INSTALLATION /1 It. vnAh.st::- LEGAL DESCRIPTION h'e!"m~ 17 D3 d-3 '-f'-l 10 / 00 JOB DESCRIPTION / !f/(nnL- <)P-/u-fl'/Jn.., S;5~ I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. P.LECTRICAL PERMIT APPLICATION .;i ty Job Number qy; / J.)3 d- 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling Service Included: uni t. Cost Sum $ 85.00 $ 15.00 $ 40.00 I terns 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY .B. Services'or Feeders /.7_ Installation, Alterations Electrical Contractor/~L/~ Ji~,~~~~ Relocation: Address..Lf,,~O ~ t"WP/lkllr 6'-~ 200 amps or less .- , 201 amps to 400 amps CityRP~''''-~ Phone"3,,-'-?069'" 401 amps to. 600 amps . 601 amps to 1000 amps Supervisor License Number 3l i? ~- Over 1000 amps/vol ts Reconnect Only Expiration Date-./l:)-~ Constr Contr. Number-L01'J96. / Expiration Date /.. - 0 0 ~re a:rs Name 1=~7~ L~~ Address0J.;A5 ( ;j t1..ULY.R n21 t? Cit~ Phone 3LVs-Sx'20 OYNER INSTALLATION The installation is being made on property I OWP. which is not intended for sale, lease or rent. Ovners Signature: ~~TE~~~-ZJ-:-~C(--------------------- RECEIPT #: ()..::I '50 ',5( I RECEIVED BY: 17, m/J ('f1a d (J $ 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 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circui ts .' New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm no t included / $ 40.00 $ 40.00 $ 20.00 $ 36.00 , :2,,(), () () g.~. t?C) 5. SUBTOTAL OF ABOVE 5r, State Surcharge 3i.~Administrative Fee TOTAL ....- ~/. I. () ----