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HomeMy WebLinkAboutPermit Electrical 1999-1-12 ;~~i~~~Oa~~gcio~~e~~~~:qu~mitted h,a,s the fol/owlng approval. U1re specific land use Zoning ye... 225 FIFTH STREET Date - 1- /cJ - q 7' SPRINGFIELD, OREGON 9740.UtlO(Z td S' <>V'. ) INSPECTION REQUEST: 726-37~Y Ignature l'--V\. OFFICE: 726-3759 1. LOCATION OF I.!iSTALLATION 'iIIJLf Fu p( J'171,4' I' LEGAL DESCRIPTION 1.'iI ()? 6 5 ). 2 , t) 7'10>> JOB DESCRIPTION 111M IJ L.lc t.;" , Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. I 2. CONTRACTOR INSTALLATION ~Y Electrical Contractor ;f / Address City ~ne / - Licens~umber Da t e,/ Supervisor Expiration Signature of Supervising Electrician Ovners NameVOn < Oa \I i S Address ?O, Mx' 733 Ci ty 5pf2( J-->-q ~ 'e-ec( Phone 9'S3 - S 707 I I OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ?:_Si-gna-~ _ _g.:- _ , ~~~~-:~----T!7~~J(~--:--(l~------ RECEIVED BY: I '--h 'fin i!i - -- , , ELECTRICAL PERMIT APPLICATION qty Job Number Q?)rz.1 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum NOTICE' 1000r~g.ft. 'or less $ 85.00 Eacn I ~J:dR:t:f-tMJifcSHAtq..oEXP/A sq AG'fft1C~Z~~1..WBg E IF THE WOAK E thetJ.M~9nJF.r.)'i'fiDt1Ar;;,d.': THIS PEAMI~ I~~BP aChantl I\!.Iu U~l''>\.) l1BANDO Moil~til[~t.n P~E?lJ#~g) NED FOA Service or Feed'eP . $ 40.00 D. Branch Circuits B. Services or Feeders Installation, Alterations or Relocation: ~OTEaJiti~-tOi'a.I{J~~S~ $ 50.00 N ~~~ aao ~e Jflif{~e~yO ~O. 00 . Q/OlJ;aaIDR:teffie ~e barntfle ~ Ut p;0. 00 In ~ [g' t91n\cr~S~les 1~0. 00 OOa~.eYoJ 1 m~;tl)lIikJgh OJ!.~9 set .00 ~Mg\1nf WilY'l Copies ot-tl.. 9~2. 04-0. 00 nUmber for center. (Note: the t ..3 I u/es by C. Temp~ato/: SlIegOnvtiltiV: l'~~l:l@Ift@ Ins tar~!r-( i~n-a06lj.:ji;[.~3~~~f'Wi~10ca t i on 200 amps"oT less / $ 40.00 L( U 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 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 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 4a ~D z... 00 I,V 4'),z..t>