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HomeMy WebLinkAboutPermit Electrical 1999-9-22 .INGFIEL.D : I ~, 1\1. 'ttedhasthefOllowlng '1'1QJiLCIait project ~~:qU~~~ specifiC land use . T;/</' 1cl9~"does no /' epw,f""flMIT SHALL EXPIRE IFT~ L/' _~ Au I HORli3D@iUNot:H rHIS PE -;22. -, e; CQ.MMENrJ::!;) OF; ',', 'CTRICAL PIillHIT APPLICATION 9I~'(i!' ""AtlAND 7ij\~'SIil~o:- Ci ty Job Number Clq l d. Cj () 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION 4795 FKfrNl<wJ Kr.JD .?tALC 39 6l.E/VW Pp{) LEGAL DESCRIPTION ~ \'b()?:>Od-~() 6l'icro 3. COMFLETE FEE SCHEDULE BELO\l A. New Residential-Single or Multi-Family per d',elling uni to Service Included: JOB DESCRIPTION Kr:PLI't-Lt<- tV,,> Tt?Arr.E-.?- C;&l..t/;~ 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 Contractor B'lJtU5 ELGC71Ut.... Address Z I 0 /JJ It C-l.'( S .:# r'_ City Eur..btJG 'I'1l1i! :r Phone b 1>7-13(" z.... Number .SO <f /-.xf Supervisor License Expiration Date 10-/- 0/ Constr ContI:. Number 7 ,)'7 C. z.... t -~ - 01 Expiration Date Signature of Supervising Electrician tLJ /'fi!~:- .-=' K. D. fC. C;~ilIC6,? DATE: RECEIPT #: RECEIVED BY: '1-d.d.:c, "'\ 30";~ 1000 sq.ft. or less Each add i t iona1 500 sq. ft or portion thereof Each Manuf'd Home'. or Modular 'Dwelling Service or Feeder I 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 Items Cost Sum $ 85.00 $ 15.00 $ 40.00 L{o $ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see "Bu above Owner~ Naljle(A^. MDA1j>>i:4/TH ().J'ht-~ FfL'f rC- Addressjl1!3D 51).) /:.€:f'.!:. PJ:.~'1 ~jJITGi 3l?S" One Circuit CitYMk..~ O~t) PhoneS032i.{t..{'l300 quir~.\1!1Jltdditional ATTEN"!I0N:ureyu" ,cc.v re 'Cil5cuit or wi th Se:~vice O\/NER INSTALLATION!OIlOW rule" adopted by the OregoJ'r Fe'4der Permi t $ 2.00 - TI10S€' fules are 581 ItJl tll . ,. 'J"fihcatirm Centel "Cl.u,,?!:)[11- , The Ins talla t Ion IS beIng hma"qe_oo,n_001l' thIOU(E,.OPMl'sc~rlaneous (ServIce/ feeder no t included property I OWl"! which '~-V-'iio{"vh~3r~~9JJr' copiet' 0Ilb~~~h'lJW~ta~lat~on for sale. lease or ren'tl?U,,:}O -liE ~ent8'. (!\lotE.' th<'lfP~~!,?'9L ";nga ~'on . $ calling. 't 0' a-eoo''', Ulility NSJlgn'/0utl1ne Llghtlllg $ OllDers Signature: number lor ~;~: . "~nO_332."st~imited Energy/Res '$ r;p0,-.S ." Limi ted Energy/Comm $ 40- 4 *t.t4- " New, Alteration or ,Extension Per Panel 5. SUBTOTAL OF ABOVE .,r. State Surcharge 3% Administrative Fee TOTAL $ 35.00 40.00 40.00 20.00 36.00