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Home My WebLink AboutPermit Electrical 1997-5-9 U.......1... . Tha 1o!iowing proiect as submittsd has the following zon:nq. E~nd does not raqLdre ifp;ErCinC J~~nd uso '. appro\!;:iL .' Zonil1f-1 L-Dt2- Date 'C'.-- q - 0r-7 9747 I - , ----"-f- ,^ I iJ'2r6Q!3:Y'69~ignature i V VV1 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 3. 1. \ "IACATION O~ I~TAL~1'ION h ~ n \) \V V\~ \ C'\ \.p~\C::S ~ \..l0\j}jU@JQ~_l (U. A. . \-\81.~f5~~IOO~\ooq \ ~\JOB ~:SCRIPTION "b ~,\~g '" ~ ~~ .. - Permits are non-transferable and expire if work is not started within 180 days of issuance or if,work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLYB. . 7 z;e,q L E t..ecr/2U!..., Elec tricalCon trac tor ~~( f"--t:tf12J.\ :;:;nC. Address f? O. B6X.. .3 65 , Ci ty U g<) ~)~L- Phone q '-I;) - ;;>. '). & y Supervisor License Number / Y / - 5 Expiration Date /()J~/tJ@ Constr Contr. Number c;,7~ 3 J Expiration Date (()/;:)~- Signature of Supervising Electrician ;fl- ~ L/~/~..~ Owners Name ~h_,W1<~ tAJ\~ Address ~~\) ,,-1:\.u.~ City~rL- ;hone l4.b~1 ~l 1J~TALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: --------------------------~--~------- DATE: i CS ' 1 RECEIPT #: A: ~ U RECEIVED BY: I \: ~Ou 0 \91 \ ELECTRICAL PERMIT APPLICATION City Job Number (\l{)5~'2- COMPLETE FEE SCHEDULE BELOV I New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 ~' t unit. Cost Sum $ 85.00 121) $ 15.00 roo $ 40.00 $ 50.00 $60.00 $100.00 $130.00 $300.00 $ 40.00 C~ Temporary Services or Feeders Installation, Alteration or Relocation 200 amp~~r less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit, ,$ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge . 3% Administrative Fee TOTAL not included) $ $ $ $ ~ bO ()'O J J . 5'D '% 9.() z:i t- - .. - ~.~ 40.00 40.00 20..00 36.00 " . ~ ." .",1 -n..~ ,,-~:,';':"":~1~~1~;;~.S not (\-;qUU" " ;~. s.pu l~_ '. .~ ,): . !~t (~),n~.<:. , . 1 Df) ZOlllr'9_yJ--IL- ',c'; 5_-5---CC/ ' ,-~~~~ ',.c\ s\gnstu,e,_.tJ-M 9 7'4'77 o~<, - 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 i 1. LOCATION OF INSTALLATION o c; 5-1 R L C/ i: 0- ~ L.. L- LEGAL DESCRIPTION r70~ 3:73~ 0 l-/bOOf VL/ /J. '1 \, -.".... lOB DESCRIPTION fU1/l1J /JtJ If ..; l' , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is'suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expha t.ion Da te Signature of Supervising 'Electrician Owners NameCli~j E~ I {hr' Address f;;QW I?J{4~(;tL WaV Ci tQfJY1orhJJo!-Phone 71( h- fir/; 7 OVNER ~ALLATION installation is being made on erty lawn which is not intended sale, lease or rent. o~ erS~ig ature: \ rC? '~ . J (J, ~~ JD~TE~~-- - 5---V; 7 ------~~------------- RECEIPT- #: '2 ~O;? RECEIVED BY: - ~ ELECTRICAL PERMIT APPLICATION City Job Number Q705<62 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or 'Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf/d Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation; 200 amps or less 201 amps to 40a amps 401 amps to 600 amps 601 amps to 1000 ~mps Over 1000 amps/volts Reconnect Only Items 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 200 amps"or less X $ 40.00 lfOiOO 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 New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.09 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% ,Administrative Fee TOTAL not included) $ $ $ $ CjtJ, tlO 2./J(J 1.2.fJ 7'~< P-(J 40.00 40.00. 20.00 36.00