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HomeMy WebLinkAboutPermit Electrical 1999-8-31 Zoning J...D~ Dale << "-:;I"&' , Authorized SigJlature .....k/ 225 FIFTH s'1'lU.'[;.'- SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 NUIte'E: THIS f>~HMIT SHALL EXPIRE IFTHE WORK AU I HUHIZED UNDER THIS PEAMtTlS NiHIECTRICAL PERMIT APPLICATION 9~~~~~CEDORISABANDONEDFOR City Job Number 91/lbe !,,~V 180 DAY PERIOD. . 3. COMPLETE FEE SCHEDULE BELOY 1. LOCATI>lli. OF INSTALLATION (~'{..~ 1-<,"",~(1 A. New Residential-Single or Multi-Family per dwelling unit. Service Included: JOB DESCRIPTION 1000 sq.ft. or less ?, -\-,,, (\ (\,'." (',...0 ri:-+; "'"e. (,-;:;-:;!~!~~"GreQJ' I..J::i'c~hJ,a_<!~H'~'onal .500 I . '1><; "rlopted by tt)gq;re~!)nllli" po r tl on Permi ts are non- transfer~bl~O?$~. r,\1~p.~re T ose rW~I~R:.fset ton;, if work is not started w'tR"rn'it'18~Oaay'sI11eJ. ~h Each) Manut'&).Home. or of issuance or if work is sllsp^efiHrlia.lf'b1tOOl rouHBdJ1~l;Jl~~lling 180 days. 0090. You may obtain cop's~rHrc~ dr F~eder calling the center. (Note: me lel~l!hul ~e 2. CONTRACTOR INSTALLATION 6litiYJerforthe OrEBlpn IsWj!1Ii'1:1!~IC8~oFeeders .... ~ "):mtp"'s ~~n""''''fRst~'iCllation, Alterations Electrical contractori)\JX~ f:(Q(~(, or Relocation: Address ~~l~ tV. tIYlrJJ~ City UaJJLI( Phonef!H5- 2440 Supelyi$or License Number ,-:zJJJILt - S Expiration Date 10/1/00 Constr Contr. Number Lo{~~Cf(j 111'BJqq LEGAL DESCRIPTION J71J ~ -;q 2'5 01110 Expiration Date ., Sign~ure ~~rViSing Electrician ~(J~ O"ne.1:i' .._me("\\'\r., ,.,.,: I h Address .1&'.r. Q^, .,00'"1 cell "153-'<'/0<09 City Phone. LO\( &,,"5"7- J,,/ 15 OYNER INSTALLATION 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnec f . Only It ems Cos t Sum $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 5. SUBTOTAL OF ABOVE 7 ID.: S ta te Surcharge 3% Administrative Fee TOTAL 200 amps' 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above " New, Alteration or Extension Per Panel <V $ 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 D. Branch Circuits The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~ATE~--~~~~l~_~~~------------------ RECEIPT 11: rI-.J.::fL:C>'-//. . RECEIVED By:fi4')1(j{.'/nc/;f/ ( ) On~ Circuit Each Additional Circuit or vith Service or Feeder Permit ,35,00 al .<.i,s I.^"'I -~~ ..,,""