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HomeMy WebLinkAboutPermit Electrical 1999-1-22 I The WI/{}Wlflg prOject . zonifl~; ElM does no~~eSqU~mltted has the fOl/owing appmVElI. Ulre specific land use lMing_ Cc.... 225 FIFTH STREET '-"ale__ -1: a..;)._ 'i '" SPRINGFIELD, OREGO.~rhgl~}~~. _ _ \ INSPECTION REQUEST: ifg--j~~ - ~ OFFICE: 726-3759 1. LOCATION OF INATALLATION Cmo f:>e.-\+\ \fUL Koa-d LEG~ DE~PTION l~il"12loZ3 ShCAr'\~ \-<R~lA'fQ'^'t LGfOI JOB DESCRIPTION ~. 00'\( n. ~ ~ \~Q~"J-M2n I -. Permits are non-transferable and expire if vork is not started vithin 180 days NO~~p~~uance or if vork is suspended for T~\~ PE~M\1~SHALL EXPIRE IF THE WORK . ~9,.Q&:O'I\I" Ie I\IOT . AU-fr10R~t<ttt:J'OOm..(j)RT~:IlNt>'l. ~r,'A':I~_N ONLY . I, .t"Cr.:n OR IS ABfI.NDON~ rOR I - COt!J)e~lt ["J:ca'l Con t rac tor \\ QAI\ r-oJ k ~. . "'I--O\"rl I . M~Y'ii'.':'.';':;"c~'\U_' . . ,. 'Address C\Dd~ Ge.m\{'\I f)r\ 'l/L Ci ty 6..e..o\:JRY~V\ Phone!::03 -L,L.{1o -DSs3 Supel"visor License Number ?5:73 Jt...-t:: I O~ /q 1 . ~-- ( I L\,?- '3> ff:. Cons t r Con t r. Number .<.4 - 'd5S tLE \.-\ Io"q lolqq Expiration Date Expiration Date Signature of Supervising Electriciilll //?/ffd The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ~~~~~-:~--c=~~~~-------~ RECEIVED BY: tT7I b \ f\ J ELECTRICAL PERMIT ;'?1ICAT~~NA Ci ty Job Number l, '::J() Ill) 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dve~li~u~Bit. Servic~. I~\@'QJ:requlres Uti\i\V A"nENI\ON~ ted by the Oreg~~mst iorthCOS t ialloW rules a ap Those rules ar~ se -09"'- Noti~tIDns(~~tf~~1~'\;\~ OAR 95~ fbr5. 00 . O~~are~n-tl'onfti;o~iliS oi tne \u es In Q-?l!f€>urrma'i> pbtfM 1;'~bW the telephO~e 009 ~~~ent~r. \ on Uti\iW Notiiicatl~n 15.00 %~r~~U1\IIDe~r~I1l~~Z344). nUf1 ol uQ;e\melD~ 1.r~~h'g Service or Feeder $ 40.00 Sum .B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 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 D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 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 J..,imited Ener~ $ 36.00 ~\"'.no 5. SUBTOTAL OF ABOVE 3lo.DO 5% State Surcharge \.'80 3% Administrativ~ Fee \.6~ TOTAL 3R.Bg