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HomeMy WebLinkAboutPermit Electrical 1999-11-4 ~OllO , 0~ ' ~, .tt d has the following The f9\10WI,n'g:P~Oj,!ct~s SUb.n:; s~eCifiC land use loilliig'a.nddoes not reqUlr () , ' 225, FIFTH HSTREET approv_~I, ,. ' L-- 0 ~ , ,EI..ECTRICAL 'PERMI'l', .APPLICATION SPRINGFIELD, OREGON 97477 ' Zoning', 'l _ q - q q a INSPECTION REQUES'r: 7&%-lliQ \, I Ci.ty Job Number /9 J L//9 OFFICE: 726-3759 f~utnOnZE:O Signature - Cf3. COMPLETE FEE SCHEDULE BELO\/' 1. LOCATION OF INSTALLATION U: /l~.~ JQnc:Jl"f60/\ kOn.C,. , A. Sp" ~ Y1sG';e 101 LEGAL DESCRIPTION, 'QILj 18 hto.o-\- r,-,~-r '+- a \ v Irtord I to y , JOB DESCRIPTION /7() '3 ')" 3 '3 New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft.' or less 11/00 NOTICE" Each addi tional, 500 . " , sq. ft or port1on ~ermi ts ,:re non- t rans fer,:bl~ aThtI~RmSHALL E::~~~t.l-fr_,^, 1f work 1S not started w1th1n ~~~ ~~~ ~~LHarto~u~e, or of issuance Ol- if work is sus~~'ellt''l!{,~DUNDERTlHJ81P.6RMJ:rvf$N{j.'pg 180 days. COMMENCEDORISABAwOO~eD<FbReeder 2. CONTRACTOR INSTALLATION 0zft.f'tY180DAYPE~IPDServices or Feeders ~ Installation, Alterations Electrical contractori)\JX~ ~(QcJrj~ or Relocation: 'Add~~ss 3?Jl:lIJ ())~ '1Y/{;lr-tiYG 200 amps or less ;1.r 201 amps: to' 400 amps Ci ty U tEiJ.JLif Phone ~q5- 241-10 401 amps to 600 amps 601 amps to 1000 amps Supervisor License Number .::;LolLI -S Over 1000 amps/vol ts Date 1'0/1/00 Reconne,ct 'Only Expiration .1'0 ~gor"\ '!:I'^/.I('\n1 \IrA~ "OU to (f)1 ,.,<2011 ,ATTEN IIUI'\&. r",.. ''Femp()"r:ary~ Ser:Vlces or Feeders Cons tr Con t r. Number U/C)'1'-ffollow rules adopted lrnsiit%~l%.\{.'folrl\ullt)l1 tera tion or Reloca t ion I Notification Center. Those rules are set forth , Expiration Date /J/<B '6/ in()Ai=lq~2-001-0010t~()(i)J[a:-m?~;?&5~:t~Qk $ 40.00 ~090,. You may obtain ~~~'iEam'p~s.h,t~U~@'OJ2mps $ 55.00 Sigp;,rj:ure of Super~ising Elec rc~~tHgthecenter. (lg~~),-.t~~~~!~~~::'~~:~ a~b~o $ 80;,~~ numberforthe Oregl:1l>{Et,Rlh... .'.09!1~IC0a.- vol ts see above C:;--:ted~ i-800-332-~:344). . ~ J D. Branch C1rcu1ts tlIIU--': i..- I/U lId C Ie Address /h()() /:2h tRlIo,!Je/)c$~1V Ci ty FLo/L.l?1rJ Phone tf4 7;' Jf-'1~ " Items Cost Sum $ 85.00 $ 15.00 ,$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ,. New, Alteration or Extension Per Panel OVNER INSTALLATION One Circuit Each Additional Circuit or with Service/ or Feeder Permit / / ~.(, $ 35.00 $ 1--- 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm The installation is being made on property I own which is not intended ,/ for sale, lease or rent. E. / / Owners Signature: ---------------t-t--------------------- DATE: / (/ 4f 17' RECEIPT #: ' /-' I'(p?.(",/OS" RECEIVED BY: p tJaA# 5. SUBTOTAL OF ABOVE V27. State Surcharge .3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~, .00 a ,,'')3 , L, i , '-------I "-/ () . -70'