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HomeMy WebLinkAboutPermit Electrical 1998-7-13 02111/98 fi" 10:22 '26 3689 SPFD DEV. SENol 141001 ZOning.lcl V. ,\\'C. i'\ i Oat;] ~ I ~ ~ ~ ~. 'i:."'~\~'C. \:~W\~ \CO ~O . . ~ . ~\~. ~ c.\-\~\..\.. _, l\C, ~y ~ 225 FIFTH S~rlzed Slgnatur~o~~\~\(;' ...\'O'C.y..~\\)O~ CAL PERHIT APPLICATION SPRINGFIELD, OREGON 97477 :s\\\CO' ~'O ~\... ~~~... (). I I INSPECTION REQUEST: 726-3769 \\,\\O~\1J ~DO~\CO City Job NUJIlber -/<1 OZl.o '1 OFFICE: 726-3759 ~'v 'i.~Gy ~\OU. . COw.\'!\ \)~'{ ~~. COHPLET~ PEE S\,aJ:.uULE ~ELOV 1. LQG~TI~ OF /Ili~TION: N \~fj . I ~ b (:f n n I a_f~. _ . A. New ~esiden tial-Single or Multl-Pamily per dwelling unit. Service Included: f-Sfb _~~PTqp!- / L( q () () . JOB DESCRIPTION i Permits are non-transferable an9 expire if work is not started within 180 days of issuance or i'f work is suspepded for 180 days. ! I 2. CONTRACTOR INSTALLAnON ONLY .B. ~EYMtJCL>5 Electrical Contractor ~~~~ ~/~~ -..-""; . .' "...., Address ..Q / 7.~ U,J. 2~ /J~, . . City b:/f/'p..-' Phone..;;,341f-7297 Supervisor License Number ~G?-/~.~~ -Z5,z 6 -5 . ~ Expiration Date /C'J-9Y' Constr Contr. Number /7.?-5'? Expiration Date /0 -<7.Jf' 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Modular'Dwelling Service or Feeder Sery~~es 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 Items Cost . Sum $ 85.00 $ 15.00 $ 4a.OO $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 5 () .00 C. Temporary Services or Feeders Installation~ Alteration or Relocation 200 amps"CT less S 40.00 201 amps to 400 amps $ 55.00 Signature of :guperv' ing Electrician Over 401 to 600 amps $ 80.00 ;c::. ./ /. / Over 600 amps or 1000 volts see liB" above ~~4".-: ~~~~ J~Lfj'. ~iI . bB'.\ J:' ~ ~ranch Circuits .. ers Name -, j), iK(m rbI/+- (...iv;rq.; In&- J (I U Nev, Alteration or Extension Per Panel Address I_~ I /J I V in City 6U/jPN_ - - Phone31 L i:-99r/{) V. , ..2!:::[!:J' UlY OYNER INSTALLATION E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm The installation is being made ~n property I ovn which is not intended for sale, lease or rent. OVners Signature: :~~~~JD'3~fJr?;-/<lV ---------- RECEIVED 'BY: Lh. 'VI/ I/' vL-- One Circuit Each Additional Circuit or with Servi~ or Feeder Permit fJ .5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 lo,au S 40.00 $ 40.00 $ 20.00 $ 36.00 (00.09 J-O _ . 1- ~v (jJ4- 'KU