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HomeMy WebLinkAboutPermit Electrical 2007-10-15 v' ,v' v, ~ L 1. ..l 1.. . o.J Lt. \...\ o.J '"t -1. . ~ U v U~) ,,) ....., L.1 vJ ~)1 l\.l...,......l' 1.l.'..LO ~V\)tJ ":i,4;:-:':";:;7:~'I' ;j:.;",(0' E"';"S' DRiNCEiEtJri""'C>RE'C50N' ",' ,;' ,':.' .;:.:~~})~}iA~~..:!. ,':':~'i<,. '.' ::..__J;~:,.:__"...-,.. ?;.\,;: /: ,:,,;~;~;-,~!,..;.:,....,:..., :' ','.' ~:::?~~.;:.':'...:-:., ZON INITIALS DATE SOURCE 225 FIFTH STREET. SPRINGFIELD, OR 974n . PH;(S41)726-3753 . FAX: (541)726.3689 ELEC'l KlCAL PERMIT APPUCATION City Job Number L..6 Nt 1-0<!:>( - 00 bq :, 1."~f?~~9~;~~~~~19~i['m~~~;l.!ri[~~f!, \.'2.-50 K/>-..\~ S"'t~ LEGAL DESCRIPTION: l1 0'> ~ 5' 11c \ . eo'Z..O:' JOB DESCRIPTION: A't> 1:> C-l tLe..u \ T S. Permits are non-transferable and expire if work Is not started witbln 180 days of issuance or If work is Suspended for 180 days. 2. ;'-~~~~~?J~~!~~~~!.~~~~:'~ Electrical eoAU8t\Ell SAOS. ElEaRIC RO. DOX 097 WoIteNllle. OR 97489 S41-74~724 Address City Phone '-LJ~JS jO'-jO Supervisor License Number Expiration Date Constr. Contr. Number j 3 G Lj!Lt., /0--/0 Expiration Date 'i\f5f:wgt)~~,\ . '-----" rs N'arner. _ ; 1,\ LOin ~'r\C\ A~des . .~~ ~~~ Ci II 06 @I.U JOJ J!'q~nu eUo4d 18\ 4\ :S\ON) 'JelUEro tJ\.f+ ~IW o~~!<t~EW8#!'elqo ^8W noJ. 0600 H\n-.?CAI'!iinoJ4l 0 ~OO- ~OO.ZS6 HVO Ul Tl1lnmt~ftft' 1 ea ol'!lS4~'j1I)~W@!~M is ml<VtMt% Ird ~~r~pe salnJ MOllO! Al1llln UO JI d~ ...."',. '-' ow~}M~iftAlP.baJ Mel UOOaJO ,NOllN31..Lv Inspection Request: 726-3769 Date 3. ["~M#f#~~~~,91:f~A~"!~Y?Y*:t:~;-':-"" . A. j:J~;~~~~~!4(~~~~r~J1~jr~~?l:~~I~~f:~~i~;:~~f.~~~I)i~~;ftf.:~:,;~~,; Service Included 1000 sq. ft, or less $117.00 Each additional 500 sq. ft. or portion thereof $ 2l.00 Each Manufact'd Home or Modular Dwelling Service or Feeder B. .J]~~~~~f:~~1~~~~~~~~~~i<i~~~~~f~~~!~~.~.~.':Rej~tl~n:..:... $55.00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over] 000 AmpsN o Its Reconnect Only $ 70.00 $ 83,00 $138,00 $180,0{) $413,00 $ 55.00 c. m~~~~~~;:: Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76,00 $110.00 Over 600 Am s or 1000 Volts see "8" above, D. New Alteration or Extension Per Pane', One Circuit Each 'Additional Circuit or with Service or Feeder Permit ~ <t - j~ $ 48,00 ,3 $ 4.00 E. ~r~~)~i~&i~b,~~~~l~~:~~t]!~~f!~~)J~~4 :!n~~l~atw.~ Pumu,o;.irrif:,n $ 55.00 signJl9\d:ifJ futing $ 55.00 umir.lil/JO,Si/lMf;Tdiltlli'lll EXPIR[ IF T 8~ Mm~~~:~~~~"'i' ,4A Q:g" 4. fj~:;~~~_~ '~'~!(;~S;~T~[j,_,. ~.:0~~h;/ 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T:)lBuilding fonnsIElectrica1 Permit Application 7..m.doc