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HomeMy WebLinkAboutPermit Electrical 1999-2-1 . The following project as submitted has the following zoning, and does not require specific land use approval. Zoning 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Date k..D t2.. "t - I ~lIzed Signature 726-3769 - CJ~ ~ 3. ~LECTRICAL PERMIT APPLICATION Ci ty Job Number qC( 6 / 2-1 COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION {6 ~{).., /.,oop . A. LEGAL DESCRIPTION ;1103 2(P2!>CO(!ff( ~!;, 1 ()o~ .1000 Sq.ft.Ab?fless Each additional 506 sq. f t orltpor't'ioh'I, the reo f ;_ I "ORI7,~ ,SHALL r: $ 15.00 Each Manu f..!,o' Home:Gr/fVOt:R J(PIRt: If:.,., Modular1 Dwelling j. "j 'HISt:> HEWO Service or Feeder' ,ISI'JI:1'A' $ /C4'0!:OOZS Rk '" ", . . . -," ' ,uOfVE, IVU, 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders D f:OR 1~~Installation, Alterations Electrical Contractor t:.Sf IF-c.'-m,l. ~lowr;~r Relocation: Address P'll i30lC ~ '1?"3> 200 amps or less $ 50.00 201 amps .to 400 amps $ 60.00 401 am~sAltfl" qQO amps $100.00 601 amp~:lito-rH)00\/.'!.Il]P-S_. $130.00 Over W. }f?WnffjS>l;xpl.tsl,:;'."awreqiMl~~g, Recon!)eo It/COIiiJ.,yC~;:I~-:'uy me Cke~9fJl{Yti. ~u .10 AA 952-001_0 r. "use rUles are t'lIly c. TempoQq~ 'S:e.rlf~yjfuOJPt~l{~~A set forth Ins tal]C'a~rmptlle%h1e~!l'f1iQup;g!" of~<l9cl?t~6fl. nUmber for th er. (Note: the e rUles by 200 amps' 'orc~~W Oregon Utility ;'~\y!<(l)fu 201 amps to 400' ';[m;psOO-:'l:'l? "3 otS!;:fOOn Over 401 to 600 amps . )80.00 Over 600 amps or 1000 volts see "B" above JOB DESCRIPTION ---1h.fl.. e-J,a,...rtl&f. J.b.1"7' .0(1 ....p Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . Phone 6dd'-IC?Il{ "Jlj'17 .s City f.,~c~,..,~ - I Supervisor License Number Expiration Date 1-0'-/ -nl Cons t r Con t r. Number "? 0 vl?<i Expiration Date /)..-::1..0- f)o Signatur of Supervising Electrician Owners Name U I oJ '.n t. ~(rr~ Address ~ (, ~ lA I<U"\. _ L-u,tJI) .- City Vt2u.~1 Phone ~J-A.~7~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. . Owners Signature: :~~~~AlTT1r.~J-;v-~--~-----------~ RECEIVED BY: 711' /1//1 A /l ____ New Residential-Single or Multi-Family per dwelling unit. Service Included: It ems Cos t Sum $ 85.00 D. Branch Circuits " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 -S~.OD $ 2.00 1.()O E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 " (~, t5Q ?4.'~'(p