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HomeMy WebLinkAboutPermit Electrical 1999-9-16 . ttPRINGFIELD '~y. ~" EXP.lREIFTHEWORK tullOV\' rule~ ..om'- 'G i}v l"l~ .",," DU ERTHISPER The fol!o,~\ng p'[~jep!,!!~ submille~_h.as the !ollowlng , ' M1T IS NOT zoni,r:9ral ~~' '4'~.~.~RL'e,9P,i~e s~~?~li'1> land,~~e _,. _ . COMMENCED OR IS ABANDONED FOR approva' .' ''C\ ,r) ANY 18 .:JOel,' Vl'\1 TIel' 'l!:&\':.I,~..; ,"" I" o DAY PERIOD, 225 FIITH STREET "51~~~~g':IFO"P\ 1"(";>' 'r; , 1~'o"E~CTRICAL PERKIT APPLICATION SPRINGFIELD, OREGON ~lt't,Tr " -\~. ~\o- '1,....., ,.', ' '~ INSPECTION REQUEST: An6~37~9' "" ".. ~ ,~::". ..v;",v.18ity Job Number Cf r; tJ s?- OFFICE: 726-3759 uifionzed Ignature ., 3_ COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION . / :2 9 4 ;J E-~ /f'IHc: , A. LEGAL DESCRIPTI~ -L7t!J.3 2. 1 & aue-v , .,JOB DESCRIPTION (\ 1/ J4- r ///1/"""" rY 'e., (} rc: "<'-7 Permits are non-transferable and expire if work is riot started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical contractor(?~"'r.-~~J.t~ ~II~/)V~C Address {tJ, .JIo-p>~l'L' ' Ci ty (!/t{5'> CtteL--L- Phone fCf ~Z i?~'-- Supervisor License Number Expiration Date ~- Constr Contr. Number Ob~/9f/o Expira t ion Da te 1; - Ztlo j SignA?:; ,':1X~::""id~ Owners Name k""1 ~.JJ<c/ , Address -3./2.5 M /../.A-V/'7t }7./~ M, City 6uc. Phone .?~v,S-Ji.2.0 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ----------------~--------------------- DATE: 7 -1ft, -:.(;5_ RECEIPT #: I/ji~~ RECEIVED BY: "t(il' New Residential-Single or Multi-Family per dwelling Service Included: uni to It ems Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular 'Dwelling 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 $ 40.00 $ 55.00 $ 80.00 volts ~ee "B" above D. Branch Circuits " 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 not included) i./" $ 40.00 $ 40.00 '$ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL --.24.;'" ,~ '7." 00