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HomeMy WebLinkAboutPermit Electrical 1999-12-2 c The 10110.._' . .,~ pmreCf ;.,'.- ~,k'~',W,:.~~ \1';:ic l'h' tl\\r." zoning em", ",l~ft~ l,,,,l ~~'Jt4If'€ ~f')"'cltl'~ 'I 'rt-J"' OWlJ1g approwal ,~ , ft v tJse z"fIIHo~H"L", .. -'''_'UM' 9 ft."}, r.::).: ,:} - ; "'J ~'Ql,;lG9l;191"""'. r'-'<. 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION Ol-INST~.~TION I I 44nO /- vQn ):::..\i V\ 1?., VC LEGAL DESlfRIPfION ., t1---C3 3444 lOi kt<()OO ';'. ';,; JOB DESCRIPTION n J()S1u On 700 Amf!_:'TanPY 4 (1t/irud-s Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Blll'lder:s ElEd-n"C.. Address /q5 (v1adiscl\ Ci ty61J~ehe Phone 4~E)-()9z.z.. Supervisor License Number 2fi?O-~ Expiration Date 10-'- 0 I Constr Contr. Number 4Z.9({J Expiration DateJI" 10 - 00 Signature of Supervising Electrician (lJd --iJJ~ Owners Nam~ () - 1-1 oJ} Address44QO F(Cl() I[lirl 15 \u:f Ci ty Spfl <<rf"PMphone OYNER INSTALLATION The installation is being made on property I own vhich is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: /2~'2 . RECEIPT #: -~.c --=- RECEIVED BY: // 1/.&~~" "LECTRICAL PERMIT APPLICATION City Job Number qq /42 ~ 3. COMPLETE FEE SCHEDULE BELOII A. Nev Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cos t 1000 sq.ft. or less , Each addi tional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder B. Services or Feeders Installation, Alterations Inc. or Reloca t ion: 200 amps or less I 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 50-00 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 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above .' Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder not included) -Each installation ' Pump or irrigation $ Sign/Outline Lighting $ Limited Energy/Res $ Limited Energy/Comm $ S~ :~2 I ?it -C. ':J . ~a One Circuit Each Addi tional Circuit or vith Servic~ or Feeder Permit ~ E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 P> DO 40.00 40.00 20.00 36.00