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HomeMy WebLinkAboutPermit Electrical 1999-7-13 (2) I :. . ~ ,/ z:onmg and does not require specific land use approval. Zoning I/Drt- ~1/1?J.qvr ~ City Job Number V 3. COMPLETE FEE SCHEDULE BELOII 1. LOCATION OF INST~LATI?N , I m/nt-v?uoI lX:in-hsf: (A'I/(~ A. NeIJ Residential-Single or , 17631-)./3 ()2S00 Multi-Family per dIJelling uni t. LEGAL DESCRIPTION Service Included: 0050 Gamg r:jJA'"m Rd. Sp--r~J/;efd JOB DESCRIPTION 1000 sq,tt. or less HVA-c.. herolf-t.J.::P Each additional 500 . . ATTENTION.t1!eoJI~ f"'R9 rL~CUiM,<)lbu to Permits are non-transterable and explre' ~'[l\~1Ilo Jh Or QonUtilitl' it IJork is not started IJithin 180 da,J!lIlOWrUles'E!P<!H1.!~IY tF,\~.)lgp/"e e\~ of issuance or it IJork is suspenaed l'iRI~ication cerM3auilfl:<;€'IfWil~' 'bg~2 ~~h 180 days.' ,inOAR952-001s~m,q!:'lf08~nF'e d~l: - ...- 0090. You may obtain copies 01 e rules "y 2 . CONTRACTOR INSTALLATION ONLY callin!Jlthe 'SellV1i.c:l~~t'8'~hN~'8~pg~e number for tDfis.tra1.Ilr@~.Mitv i'l\1~~~U~rr ons Electrical Contractor..Ei!3ene Fkt::Ji/c.- Centori~R'eil!6caJflj'0?,,!44). , Address /;).0 MOYIYoe... 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 Ci ty C?O.CfeJ1e.. Phone 344-35&.1 401 amps to 600 amps $100.00 (J 601 a~&e_to 1000 a~~ $130.00 Supervisor License Number 109~S. Over ~/QWNlillt'S"l:I3cD;'liOMe&-Yoo Expiration Date iD /1/ 0 / R~'lJV'l~f:tJSIH1.e::~~N~l'Vl'Vo%O C. Tempo~IsJls.'eJ1I:1~~~Nq.~~/:I.I.Dtt. Constr Contr. Number &6 9D),00 Installation, i\."'I1.''Hal{fi'Sl!JW8~'S)HLation Expiration Date \ q / 11/0 I 200 amps or less :301:LA~00 201 amps to 400 amps $ ~~.OO Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above 225 FIFTH STREET SPRINGFIELD, OREGON 9741J/Jte - INSPECTION REQuEST: 72~TIJ.zliz'td Signatu.. OFFICE: 726-3759 Signature of Supervising Electrician ?~~.~' OIJners Name l/YIfYI1MIIJRL ~dJf2f.cb. Address ,~Df)D Gt:u-ne.-hrl"fYt RrI Phone 72(P-78'flf City ~.prPi d.. OIlNER INSTALLATION The installation is being made on property I oIJn IJhich is not intended tor sale, lease or rent. Owners Signature: DATE~~-----------------6j7'1;7;ff7f---~--~ RECEIPT II: /)'!J 'Ii /I Il. 14.# RECEIVED BY: tJ/ f.-J vi ~~CTRICAL PERMIT APPLICATION f70 )7 ) D. Branch Circuits NeIJ, Alteration or Extension Per Panel $ 35.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res . Limited Energy/Comm One Circuit Each Additional Circuit or IJith Service or Feeder Permit ~ E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL It ems Cost Sum $ 85.00 $ 15.00 $ 40.00 I 35.00 $ 2.00 tj.oo not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 39.00 /. qS J. /~ -=1:2 . J