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Permit Electrical 1998-6-23
'. . ' " 'The following proJerat lI88ubml\llld hall thb . . ," .', ' '. zoning, and does not require epecllIc land U60 8ppI'9V8l. , 225 FIFTH STREET ,Z"",",, Q( '._,.__,,_~,ELECTRICAL~PERMIT'APPI:;ICATJ:ON.~'~~ SP~NGFIELD. ~'."OREGON:l;9.7~??h-lc)ip.,~I(. ':';::"':!-';":".~".'~~!:;\~' ". ',:'."'.,.:.'..;,7.':.::..").-.,:;;.;,':~; :'itlfJJ'. ;. :~n'."";~","".. ""j "' - - '. .,... ...~r... ~'.. _" .. __ _,.;' ".' .i~. ", _,' - I ~ . . ; ''';:;J: J... "1i1!;; .:r::"".~1'",., .",.;" ',~";. ''''~ ~.'.,. '..... '~.j,}~l..J' .~ i'~ ,,;, .; . ",' ,.' , _ ...1 1 '" INS ECT~9NRE'O!!EST:.; ..[26:"3769 '. ... ^i,';'..,;,"~...,..;,',~....CX~i";J.o!j,Jju:m~E;r..,", .' ,;1" " .' OFFICE"''''726 37.59":"" "..AuthorIzsd~,.,\..,v'" ... .. -'-' '-r"_"'~ ' . .:::'.' - __.~, H.,,,." '" ._ '" ... .. _".' -.. 3, COMPLETE'FEE SCHEDULE BELOY 1. LOCATION OF INSTALLATION q.~~ A ~ , A. Nev Residential-Single or Multi-Family per dvelling unit. Serv'ice' Included:' 2. CONTRACTOR' INSTALLATION ONLY .B. Services or Feeders . ci 111 (J A. Installation',: Alterations Electrical Contractoli.J.l. (SA fJlli!i;;.. ,\,o~ Relocation,:', ",' Address ~O G::."" 4-':'~"'1 ..,&))?7O'~I~9mpsor'l~ss '. \' Cb 'YQ ~'amps to 400 amps Ci ty r...J.)JJ Q.AJl. Cf7t/os. Phone~?, -llo'i?..14,. ~#~ ~AOl':~s to 600 amps.. \ ? ~Cl '~b, 'to ,1000 amps, . Supervisolr License Number ~~) 6'0 <'- ~0Qv~) ~amps/vol ts '1)-~.i' f%gn-rfe~~~)-y Expiration Date /V/qf? ~~ u~.~O' ~.~ C. L~P ~~r~es or Feeders' Constr Contr. Number _~xoo{ Instal ~o~.It~a:ationor Relocation ~ {sl ~1": 200 amps' 'or ~S1-'OJ- . 201 amps to 4~60 amps Over 401 to 600 amps Over 600 amps or 1000 volts \ rm~~IOt\ ~WjJ JOB DESCRIPTION . Wr3LD H.J?~ ':;t- Pt~':'" r.- Permits are non-transferable and expire . if vork is not started vithin 180 days of' issuance or if vork is suspended for 180 days. 1000 sq. ft. . or less - '-Each-a:MiTionaY 500' sq. ft or 'portion ' thereof Each Manuf'd Home, or Modular'Dvelling' Service 'or Feeder'.' Expiration Date q 100 Si~)lture of Supervising Electrician tf/=R. A~._ / (J IjJ?v / Ovners Na~~./I"" ',-.J '--r'rI" C'.... ....,.J2 D. Branch Circuits , Items Cost Sum __$85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $ioo.oo' $130'.00 " $300.00 ".$ 40.00 $ 40.00 $ 55.00 $ 80.00 see .nB" above Address' ~ Nev, Alteration or Extension Per Panel .' Ci ty Phone JAb Id/(P One Circuit Each Addi tional Circuit or vith Service or Feeder Permit OIINER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. ---1- $ 35.00 <~<\o-u $ 2.00 E. Miscellaneous (Service/feeder'not included) -Each installation Pump or irrigation $ 40.00 ,Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 ,/ " ' Owners Signature: . . DATE~-------~:"-:~rO~~~~----:'-~': ~.,; ;~B~.~;~t. ~~~~~~~:e ',........, i~;o 'RECEI~ II: .', " ,~::-.,:..:.!'{.',. "",'>..:3% A'dmin..i~f~~tivefe.e ,,:,,';../u::>.' ..:,~::>~CElVED BY:: .;:,,' ,,'~/\~',:')~'~~".: ....:4~:{J~~.,}.~.':;j,~:\!1: ,:;.~~, ",".~:. ;:c;:'.'~ ~~:-:':. .~. --~'~.- ~v!'_~U', --.-, ..'. .___It__ .--1___;~....,_,__~~_. _'_ ___'_~ _. ,'~_'_. "''',:' ,\ .