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HomeMy WebLinkAboutPermit Electrical 1999-11-10 (3) rJ The tollowing project as submitted has the toll owing zoning, and does not require specific land use approval. J Zoning r-U I ELECTRICAL PERMIT APPLICATION /1- I c:> - '1 7 Autnorizea Signature N J. COMPLETE r~~ SCHEDULE BELOV , 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3~ OFFICE: 726-3759 1. LOCATION OF INSTALLATION /96"/ p~# -"5Y ' LEGAL DESCRIPTION 1?,.t>~.;r/.'2U_ ~/~~ . , '::'~ ~:. Job Number q.qJ'a // A. New Residential-Single or Multi-Family per dwelling unit. Service Included: JOB DESCRIPTION ~ W'~(~~:R 6l~AYc'.r _ ~C 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 ,B. Electrical Contractorl'7lS &ctv IG,\nG Address Do ~y 1407..- Ci ty t7(.lhJ Phone f-f1-~2hro IIfMIS Expiration Date 10-01-0 \ Constr Contr. Number '2))ILtCj ID-D I-CfCJ Supervisor License Number Expiration Date Si~of~lectrician ct..ers Name;r~~p~_~~~~n- Address /~-'!i'/ AAt' Gr. City 4"P~_ ~.Phone -?2~~ ".. . / . OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT If: RECEIVED BY: J/-.(}-"11 I 0<. t,L/ 1000 sq,ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular, Dwelling Service or Feeder 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 It ems Cos t Sum $ 85.00 $ 15,00 . $ 40.00 $ 50.00 $ 60.00 SlOO.OO $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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above .- 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 , Each Additional Circuit or with Service or Feeder Permit ~ E. 5. SUBTOTAL OF ABOVE 1% State Surcharge ~% Administrative Fee TOTAL $ 35.00 ~~,~ $ 2.00 /,$. t!:>if" not included) $ 40.00 $ 40.00 $ 20.00 '''$ 36,00 ~36C o;r , ~.7J - ~ s;,-J '7,~