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HomeMy WebLinkAboutPermit Electrical 1996-12-24 , " '. ct "" .!u\,,'mitted has th? 101\ The tollQw\ng pfOj~; . . ~~';. "~~s"'ecilic land use zon!ng, and dOBS nr;): i~~'..U~ ~ ;...... ,.' ) ,ap~roval.. C\) ~, . , 225 FIFTH'STREET . . D~eJ11j=y 1ft. . '- EI.ECrn.rC~' P~IT APPLIC~TION I 'SPRINGFIELD, OREGON 97477 '. ", ',\}, III/\I~.". ' ,', 0 INSPECTION REQUEST: , ?26-37&..~hor\zed S\gR~ture ,(/' fI' lVvHY Job Numbe,r ' /~/ S-1B2.... OFFICE: 726-;3759,' " ,', . , . 1. LOCATION ,OF INSTAL~TJON h,U.!:.. l1&j,!~ , .... , LEGAL, DESCl)IPT~O.,~ ,/'102- g~, '1 Cf- ~~.s' JOB DESCRIPTION . ~,// /duJ~ ~~. ., CIl\'~ 'L/~ /' !IN', ~ ~Af-" .If ~..) . Pe~m~1s ~re non-tran~fe~able; ahdexpire H \-lork is not started wi thin 180_days of issuance'o,r if ~ork is suspended for '180'days.< ' . I ", . 2. ,CONTRACTOR INSTALLATION ONLY , .'- I Electiical.Cont~actor Address qty ,Phone Super",:isor License Number Exp,iration Date , , Cons tr Con tr. Number Expiration 'Date ,Signa tur.e of 'Supervising Elec trician \ ,', '. . . O~ner,s Name' ~~/";-, ',~'~5)Afz' '" ,'f-,~ '. Address '~~2-c:;Ie,.~ :)R,' 7#-~<)S ~ . , Ci tY'~ .' Phone OVNER INSTALLATION, The installation is b~ini mad~ on , prop~rty 1ow.n which is not intended for' sale; lease 'or 'ren t . · , I Ovners Signature: , . . ' -------------~---~-------------~-----~-.. . . J . DATE:, /7,..-<'7"?G ' RECEIPT #.: ?Y/5~ RECEIVED BY:,' .-~...~ ..... ~/~-~-,. , 3. tOMPLETE~FEESCHEDULE BELO~ A. , . , . ' New.R~sidential-~iDgle or Multi-Family per, 9welling',uni t. Service Included: , 200 amps"oT less ,,' ~ ~20f amps to 40.0 amps ,Over 401 to 600. amps , Ov~r. 600 amps. or 1000 vplts D. Branch Circuits 1000 .sq .'f t.:, or less Each,'addi tional 50.0 sq. ft or portion . thereof, ' Each Mar-mf'd H'ome. or ModtilarDwelling Service or Feeder B.,' Servi,ces or Feeders . 1n~tallation,Alterat;ons or Relocation:, 200 amps or ,less 201 amps to 400.amp's ", 401' amps to 600, amps' 601 amp~ to 1000 amps Over 1000 amps/volts Reconnec.t Only Items Sum, Cost' $ 85.QO.' $ 15.'00 - ., $'40.00 $50.00 , $ 60.00 , ,'$10.0.00 '$130.00 $30C).'00 $ 40.00 C. Tempor~ryServices or F~eders 1~~taliation, Altetation or Relocatiori " , -) ",/ ^ or:> $, 40.00. Cf-r) t $ 55.00 ,-" $ 80.00 ' see liB'"above New, Alte'ration or Exten.sionPe'r Panel On,e Circuit ,"$ 35.00 Each Additional Cifcuit or wi,th Servic.e or Feeder Permit $ 2.00.' E. , ' ,'. -" \ M~scellane6us (Service/feeder '-Each inst~llation P~m'p or irrigation . ,\' Slgn/dutlin~Lighti~g Limited Energy/R~s Llmited' Energy/C6mm ,5. SUBTOTA~OF ,ABOVE 5%'State,Surcharge 3% A4mini~trative Fee TOTAL not., included) $ $ $ $ 4rJ ."r::>, . " '7.01:) JhO d? J.~ 1 v 40.00 40.00 20.00 36.00