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HomeMy WebLinkAboutPermit Electrical 1999-4-23 ~ ~ 1=1.. The fOllowing project as submittad has the fallowing zoning. and does not require specific land use approval. Zoning 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Lr-> 12- ~-~~'j 97 f/?'r 7a6th3r7iell Signature 1. LOCATION OF,INSTALLATION ::l.rin.>., p,q 1.P')..o~h U)()f"\n1 ~D\~~P~ ( JOB DESCRIPTION ,:>'+~'Jn('. ,--,,,,:-1- - h{)(')k ..Jl , Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. The installation is being made on E. property I ovn vhi~h is not intended for sale, lease or rent. Ovners Signature: DATE~---------------~:~-~~---:-, 5. RECEIPT jI: \ _ ~ - Ij 0\ ~ 14- RECEIVED BY: Q ,,\;~XI_) U W'--' ELECTRICAL PERMIT .N:?ifCATION r,ty Job Number lJ\~~~\~ 3. COMPLETE FEE SCHEDULE BELOY Nev Residential-Single or Multi-Family per dyelling unit. Service Included: A. 1000 sq.ft, or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dvelling Service or Feeder One Circui t Each Additional Circuit or vith Service or Feeder Permit Items Cost Sum 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders . Installation, Alterations Electrical contracto{)~M&"',PJQcli;{. or Relocation: Address ~~~ 0 ll). 61~ ' 200 amps or less t? ~~ 'JfYl1&, 201 amps to 400 amps Ci ty l fe;.urell Phone. __.r::BI7Ik//.::Jv"Ore 401 amps to 600 amps ;,:p&)":.IO!~rq(jO/)~ POI1~). amps to 1000 amps Supervisor License Number ~Il~ Cel1ter ;?b.J8\y'~1i991\lOO amps/volts I J ca,,' OIJ~ -00' 'f]D$~f!It~~-t'YBOlY Expiration Date 10 I 00 I1lff:ly;l1gtho ClyOJ)~ ~Othro rlJ/es POI1Ut;.'O . I _OOI;v~rfo -<'"6I1'e allQ;.o ~Sl?~e s(Y'pvices or Feeders Cons t r Con t r. Numbe r (QUL() ,~(',\rtl1e 0" r. (lVollf181(jfa/!fiitifnrSh Al tera t i on or Reloca t i on I 'fer; ego e.' tll 'he -001 Expiration Date I \~qC\ Sl'800~Utl"~' V~~~"6)tiess $ 40.00 ~.? t.t(1'!D'-Pet;o 400 amps $ 55.00 _ S~' ure of Su~ervising Electrician 'l,'?f1oft.o 600 amps $ 80.00 '~ Over 600 amps or 1000 volts see "B" above '-" ~ 1. ~ D Branch Circuits Ovne ame '1 ~\ ~\Q~ ~ . " -::J~{)3 ~\Lo ~ ~ New, Alteration or Extension Per Panel :::::\N'0 ,"oo.~~l ~STALLATION S 85.00 $ 15.00 ,$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 35.00 ,,z5,oo $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ /,0.00 $ 20,00 $ 36.00 ~5.00 "'."'> 1,05 .,, .~n