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HomeMy WebLinkAboutPermit Electrical 1997-1-30 . aGFIELD II , fhe follo\'Jinq r~,.,lnr-' ZQn;ni~. i:\nc~ d~ :~- dj aL~ Q~bmm:-:d r~',; t!-: : ;or'_, .f ',. CI~DrOV^1 ...; no. r€qUire nr.I.',. J'~ ......... '.J -. ',- Cl, '''''''''''''k ~'ll:) t:~.: Zor.ir.g 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 D~:t") 97~-':7;rbd Signature 726-3769 ------ 1. LOCATION Of, I~(TALLATION f7O::>,,,"-,. qVlm+ A- LEGAL DESCRIPTI9N 1/ D 2, ~.t3 ,,? / / /3000 Rr JOB DESCRIPTION IN . rY111.er-3 + J-.ffifr5 ^ ~ , Permits are non-transferable and expire if vork is not started vi thin l80 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor 5~e..e:::. Address PrO,80x l'r-'b City ~xme g7l\3\ Phone 74Ho097 Supervisor License Number 409 ~ - 5 Expiration Date lo-t-A~ Constr Contr. Number Qb'2..'Lo Expiration Date ;:?- \l\--qh Signature o~ ~g -~^- - ~) ~- Owners Name LI+Y1OAJs Electrician Address<.. ,,)()'S Ci ty--Sf? t?_ 8/4 i --M-U D. A G1ie5-r Phone 74 -'7; c;Lf/ J-... .,5, OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DA~i~-I'~~i):-~-~-------------------- RECEIPl if: rJ:J..t.r7'J--f / RECEIVED BY: r;, ri1 Nt" /JJ~ () ~ ' - (\\cAL11 ELECTRICAL PERMIT APPLICATION Q-?~ Ief. tj. . ':' .ty Job Number I / I 3. COMP~TE FEE SCHEDULE BELOV A. New Residential-Single or Mult i-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ l5.00 Each Manuf'd Home. or Modular 'Dwelling Service or Feeder $ 40.00 .B. Services or Feeders Ins talla t ion, Alterations or Relocation: 200 amps or less 20l 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 20l amps to 400 amps Over 401 to 600 amps Over 600 amps or lOOO Branch Circuits $ 40.00 $ 55.00 $ 80.00 vol ts see "B'~' a\lOve " New, Alteration or Extension Per Panel One Circuit -L $ 35.00 3~"'- Each Additional Circuit or with Service ~ ___ or Feeder Permi t I $ 2.00 c-- 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) $ 40.00 $ 40.00 S 20.00 $ 36.00 3(_rfi) .-- I. Ir_) /.11 .]CI 9-0-