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HomeMy WebLinkAboutPermit Electrical 1998-6-9 ZooirljJ ~U D~ltJ!aJ(t6 Author~l!Ilil.~re nm ELECTRICAL PERMIT APPLICATION 97477 l'4U I [\,,1:.. 726-37W1S PERMIT-SHALL EXPIRE IF THEi-W!)RJ{.>b Number OJ &()L/ L I . AUTHORIZED UNDE~ !HI~8R~MH!S ~ SCHEDULE BELOW" 1. LOCATION OF tNSTALLATI MMENCED OR IS ABANDONED F9R, , . J &:) 07 C"~Cv(",net./ .... RIOrt. New Resldentlal-Slngle or . !i1 ook~~..9 l/.1c-e.. . Mul t i-Family per dwelling uni t. / ~G~. DES~.I P~ION Service Included: IO-S1..C;;3 ~/&;1-6 0 Items 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759. JOB DESCRIPTION tPe",~ ,'~ (', D.J I ~v..,- Permits ~re 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 c:/~ ;(}c-et ( tF(c'~) Address 471];" ~j)x Ihl/alA.' ~d Cityj3.JfbnC_~ 'Phone .4t~S-,:;(47Z Supervisor License Number ,:3 .578 S Expiration Date /0'- 98' . C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Contr. Number 93153 Expiration Date q --9R Signl1L SU~;~;;;Jctrician /.../ f.. . r- . Owners. Name ~ ~ J.., tlnl!"'-t k-- I ' Address 15 D 7 (?e-..., -I.e.\1"': ~ I ~lJ j Ci ty ~..-r2J-z:.l J phone 7..f-6r $} z. 98 -() 6 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, Owners Signature: . ~~TE~-----ceJf~~2f~-~~-~--~------ RECEI PT #: l L).:'::> U:L .J-- 15 RECEIVED BY:;/.... 11/ r ,/ A/\ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Hom~ or Modular Dwelling Service or Feeder B. 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 Cost Sum $ 85,00 $ 15,00 .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300,00 $ 40.00 200 amp~"or less $ 40.00 201 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 Servick- or Feeder Permit ~ $ 35.00 ~5,Oo $ 2,00 IO,.()O not included) 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 $ $ $ $ LlS.oe ~.2~ . J . (~'--"" ~.~ 40.00 40.00 20,00 36,00