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HomeMy WebLinkAboutPermit Electrical 1999-9-22 (2) The following project as submitted has the N,.1.0ning, and does not require specific la 1..I"r~~!~, L (') R TH/S PERM Zoning , ~ AU /TSHAII t"Q~'::l.. _, T~/!{it:E ~~! .\:uucAL PERMIT APPLICATION 97477 COM_~~4flI/;I1iiEt'l"H: t" ~:( 726-A7# OaR/SABAN' M~NOrob Number Cf'1 D3rJ..-f 1800AYPE DO Ol=i R/OO, 3. COMPLE'i'& FEE SCHEDULE BELOII LOCATION OF INSTALLATION /.ttfP<l In~0!Jh'A' fl. LEGAL DESqIPTIOl}- .....,'\ I(,ov()1.. :J..'d-" b :::> <60 U 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders . I . Ins talla t ion, Al tera t ions Electrical contractorf),'lnr1"1. 'tlnll""l1t-VTor Relocation: Address fJ. tl. /{/J" '{/}~v ,200 amps or less 201 amps to 400 amps Phone~,-vk"-().il7T 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. JOB DESCRIPTION Si,l'-uf Cb: <;;"/~'''''/ (;/17/'./,,1 ,on""9<1 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. Ci ty ?, //(1 Nl/ Supervisor License Number 8.q~1 JLE Expi ra t ion Da te 10 I t}CJ Constr Contr. Nutber (j'if/1/5 Expiration Date tI 100 ___ I A. Nev Residential-Single or Multi-Family per dvelling Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion . thereof Each Manuf'd Home, or Modular'Dvelling Service or Feeder uni t. Items Cost Sum $ 85.00 $ 15.00 ,$ 40.00 $ 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 ~2~1 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Namek'tv';" ./omrlLArIurn IknuK Address 2:<'7 <;;-"'n~h <-InCA P'lAn (J One Circui t City . ~/Jr'n9/J,id p.hone-1,J"J' '''Jt!:Li.L Each Additional Circuit or vith Service 01lNER INSTALLATION,V17~'~'C:88'008' ~ s; ,.';.dJ or Feeder Permi t UO!IB:J!I!ION ^I!I!1n l!o6aJO aWl ,101 JElqwnu The ins talla t ion fi'sllbeing,l,!!ad.e'l\qntEllUEK 'U: JE;;,eOMiscellaneous (Service/ feeder no t included property I ovp. ,i(ri..<;hJ i'1;1 r.OJ3!~I].J:<j,'.'sI.\;!! I\eu: 'loA Otiii~ach in~ ta~la t ~on for sale, lease~gB-c.S'<PJ\;'Ou6nOJuIOlOO".I)U'GC;ti -JI;'Or.l:\mp or l~nga~lon. $ . ulJOnElS ElJe SEllnJ 3soUl j.J.uCl~J -'UljdJ'JoI'~lg~/Ou tl1ne Llgh t lng $ O\ll1ers Slgna tur~\~!I!ln u06aJO a41 iiq paidope ;CllnJ M()1I0~~m~ ted Energy/Res --L- $ Olno^ saJlnbaJMf!.; oDf'JC 'I JIj f\l3' ;\~Llml ted Energy/Comm $ .i.f). Qtl I. to . '1Q '7,,[. 00 DATE: q-.);)--Oz"7 RECEI/!l' *: ,( 1 <,7")(tJ~ RECEIVED BY: ~, D. Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see ltBll above .' Nev, Alteration or Extension Per Panel 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 40.00 40.00 20.00 36.00 wdJ