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HomeMy WebLinkAboutPermit Electrical 1999-9-23 . . The following project as submitted h~~ the fol owmg zoning, and does not require specific land LIse approva'r..'OTICE: L o.I~ Oalo fHISfrIO~El<PIREIFlHl:WORK., . AlIIHORIZE~THIS PERI\fHl~1?lCAL PERMIT APPLICATION 974ljtf}OrizeOS~MENCEDO~"I~AIjANUUNt:t1FOR , ' .c:A" ~ b 726-'37[,0 . E 0 Ci ty Job Number - f qo (!? ANY 180DAYP " ' - . 3. COMPLETE FEE SCHEDULE BELOV 200 amps or less S 50.00 201 amps to 400 amps $ 60.00 401-amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Number -.:i.cJS3 S Over 1000 amps/volts $300.00 / / Reconnec t Only $ 40.00 Expiration Date Ir) f CJ( --0'\) l~uNie~ireSYOutL. . . AI 11::1\111 I"l. Iv~\>n '-l;. ~~Rf\If~lfU'V Services or Feeders Constr Contr. Number ?O~~t:tresadoPtedbytfle I ns~~~i;~on, Alteration or RelDcation Notification (jemer. ,hose ru es ar ~_ l' Expiration Date /0/1 /f1;~AR952-001-0010thrO~gh~t;1~D115 ~~%T less $ 40.00 { I 0090. You may obtalO coples~i lea. ~<:I to 400 amps $ 55.00 S~~a ture of Supervising E~11n~l~oonter. (Not~: .t~~V@~~4' . e~o 600 amps $ 80.00 "0.,\ cllAAllA- RJ~ numbe~~~~~~i~~~~~~~~~I~;m;I~~Oamps or 1000 volts see "B" above . JJ J. ( _'--:-r D. Branch Ci rcuits Owners ,Name ~~ ~~ "Address fA.! g 1/. 1.'1 ti1 Ci ty .41~ Phone 7.21, '13 g 2- , v .. OVNER INSTALLATION ~J~<{ 225 FIFTH STREET SPRINGFIELD, OREGON .INSPECTION REQUEST: OFFICE: 726~3759 1~cY3~TIR ~TION / 1~D2(c:t~tI(){)J/ ~ JOB DESciUPT~N ' " . 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. . -. .' [' . _ J aIIlAJ.W,a} Electrical Contractor~(lHU'AQ f./r~1" Address? () Kn y 42/ g c:; .> City~. Supervisor License Phone~1 2 SCZt). The installation 1s being made on property I own.whi6h ~s not intended fo~ sale, lease or rent. , Owners ~igna ture: DAtE~------Zi~~~f1'--~-~------------~ RECEIPT #: '. /I .0 S) (.. S S- r RECEIVED BY: c:;ytN,...{ J A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items ~ CCst Sum, 8~.00 '8'5 1000 sq. ft. or less Each additional 500 sq. ft or pottion thereof l Each Manuf'd Home, or Modular'Dwelling Service or Feeder ( . d Servlcesor Fee ~rs Installation, Alterations or Relocation: ~r',1 '- . ; $ 150.00 ,(;0 ; , ,$ 40.00 New,\Alteration.or Extension Per Panel , ,I. . ' One C~rcult Each /l,ddi ti>onal Circuit or ~ith Service or Feeder Permit $ 35.00 ' $ ~~ . 00 E.Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limi tedEnergy/Res - Limited Energy/Comm not included) $40.00 .$ 4t>.00 $ :20.00 $ 36.00 5. SUBTOTAL OF ABOVE' 5% State Surcharge 3% Administrative Fee TOTAL .J I.~Jtf)d -(_ - ---I~l-,-~;:')) 1~'1,S-V