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HomeMy WebLinkAboutPermit Electrical 1999-4-12 (2) T .)< tOllowlng project as . >ooln9 and doas not raSqUbmllled has the following (;;.~proval Ulre Specific 'and Use 225 FIITH STREET Zoning t-1 /':) Y'l-- ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON ~"t;n '-( -I:l. - c; <; - INSPECTION REQUEST: i..q1~7~~nal ~ City Job Number 9~ 7'.3 V OFFICE: 726-3759 ure_ 1. Lg{:ATIO~ OF INSTALLATION 'I/O fiJ<!')tJ. LEGAL DESCRIPTION /70'2., ::2.0 l:? rJ :7,";"/71) , JOB DESCRIPT:I;ON /J1fJ/f/~,'J'1 riw.pj(/~\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 i.' / gala ,,!!PI GIee-Tl1 (!YJ Electrical Contractor ~r~f~/n( Address 10& 7 f:/ldl1ff' s+-- . _ Q7101 Ci ty bUlf:ti1t"- of?. Phone .!ffIBi,j- 2.9'10 15535 Supervisor License Number Expiration Date /~~/ Constr Contr. Number '2.6>-f31c..- /rJlt /CJ9 , Expiration Date Signature of Supervising Electrician ~ <<>11 AAl?)'# J/,!T7t{) Owners Name fZt'ci.ard ;!t'a fj- Address Ci ty. Phone 1i4-' S- - 9>M OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ~~~~:~-:~----~-~~~~~------ RECEIVED BY: ' - ./~~ 'o//'7 I 3. COffPtETE FEE SCHEDULE BELOY ] 5'7'7 'I A. New Residential-Single or Multi-Family per dwelling Service Included: unit. Items Cos t Sum 1000 sq.ft. or less :_"?J--;t.'S 85.00 .-)'iQOfy Each additional 500 sq. ft or portion . thereof :. :; -, $ 15.00 ',,7;;- Each Manuf'd Home. or Modular Dwelling Service or Feeder .$ 40.00 .B. 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 $ 50.00 $ 60.00 ~ $100.00 $130.00 $300.00 $ 40.00 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 $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits .' New, Alteration or Extension Per Panel One (Circui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. _/ ~ ~~. 2~<;;;eo 12,z..> 7;5-; ..= 2C4'-~ SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL -, .J ' -- ~~ _ ."'C::/J /IT