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HomeMy WebLinkAboutPermit Electrical 1999-10-5 " ThE lollowing project as submitted has the following Lt,r\ll!\;i and does not require specific land use ~l-'jJlv"81 . 225 FIFTH STREET Zoning '-D fL. SPRINGFIELD. OREGON 97477 rJr 1()-~-CJq INSPECTION REQUEST.. nf}2'['D7 ~ OFFICE: 726-3759 ,.,,,,nuf'.dQ Signature 3 . COMPLETE PEE SCHEDULE BELOI/ ?'I>CTRICAL PERMIT APPLICATION \;1'ty Job Number 11/200 Electrical Contractor /.tt<T?L Address ty 6'7 /hf!;P ~ City P..u~/JL Phone (gg$>-S40f upeL'visor License Number 41-'55 ~ Date ~(--35c..V\ J C. Constr Contr. Number 10 -I-of xpiratio Date ID~/~I . . /' C/ '"' of S"P"~~'"<'"i<i" olner~ Name ~~1/'1 ~$. ~~. /? A.J "t ,.,.;, One Circuit City JfUN(#1/l.//J Pho~,e '7<'{Y-6q~~ Each Additional Circuit or vith Serviee OIINER INSTALLATWl!>rlCE: or Feeder per~i t $ 2.00 The installation isT~Ri~~~~I~" E. Miscellaneou6 (Service/feeder not included property I ovn Whicl\um~iEbnte'O'de'(l'\P/RE'FTHEI1I~!:J installation for sale. lease or el5~M UNDERTH/SPERMlTI"tiP/ilI'or irrigation $ 40.00 ENCEDORISAB it.lJliVOutline Lighting $ 40.00 Ovners Signature: ANY180DAYPERIO ANDONEDF~mited Energy/Res $ 20.00 0, Limited Energy/Comm $ 36.00 I r5"<M/ fr.-~ , 7.:JU 17 (j ;:J(IJ Temporary Services or Feeders : Installation, Alteration or Relocation . ... L(o - 1. LOr.ATION OF .INSTALLATIg,N " /I ---.:.' 316 l- G::,i' f1JtJ~ 'Yc.AL DESClUPTION If6') otrl ~ o/90() .....u'. 1 :' /D .'l . , , A. Nev Residential-Single or Hulti-Family per dvelling Service Included: Items I J~ofF Sof!1' JOB DESCRIPTION 1000 sq. ft. .Or less ~, ~ L &O;'I~ . Each addi tional 500 , . /,., , ". .'. : 'sq. ft or portion Permi ts are non-transferable and expire, . thereof if vork is not started -ili'thin 180 days "'j ". r~Each Manuf'd Home. or of issuance or if vork)i;lsuspended for "~~;. 'H~dular'Dvelling , !J. ... ~ 180 days. f1':b" '. ~ cSi!rv-ice or Feeder C' . _ ~ p,... ,. 'e. ( I . ~ PO..., \..' 2. CONTRACTOR INSTALLATION ONLYC- " . ", .B. Services' or Feeders . 'J. ", ""Ins,tali'ation, Alterations , r . -.' y 1f:.{~L ',' orlRelocation: __ '1'0 W' "'\ .....y . Ific..: t.s . i. 20.0 amps or less 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only 200 amp~.oT less ~ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits uni t. Cost Sum fj5"' ~tP $85.00 _. 2-s 15.00 .$ 40.00 $ 50,00 $ 60.00 $100.00 $130.00 $300.00 $1,0.00 $ 40.00 $ 55.00 $ 80.00 see "B" above " Address Nell, Alteration or Extension Per Panel ~~~~~-:~---~~:~~---~ RECEIVED BY: 'V xt JY:!:. ~ SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 5. \ $ 35.00