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HomeMy WebLinkAboutPermit Electrical 1998-3-6 , . ~) SPRINGFIELD bmltlod haG the 0 The lollowlng prole<;\. ~q'~lro epeclllO land I.lOO 'ZonIng. and doe9 nV" 225 FIFTH STREET approvel. SPRINGFIELD, OREGON 97471 Zonlno r ~ INSPECTION REQUEST: 726-3769-:2,-fL:-q 't OFFICE: 726-3759 Oate_ . - Author\Z9d Sl9na\U"'~' t.. LOCATION OF INSTALLATION "::> ~.5(5:t-~ ?Hrr-V-' " ~~r , A. ,LEGAL DESCRIPTION -:::J..~n^) 'l0~ ()"UJ/J...-' . , \TlW DESCRIPTIO" L- .r.r-.. \ 0\\ n J\ f'f\ ....../'i >(:'l \JLA \ \ ;ermits are non~rans~rable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Supervisor License Number Expiration Date Constr Contr. Number The installation is being made on property I own which is not intended for sale, lease or rent. OWners Signature: ~E:::--~)~~ ELECTRICAL PERMIT WLICATION Ci ty Job Number U\'lolJ?D ~ e8hfLel~ ~gE SCHEDULE BELOV Electrical Contractor :is kA,,~&e() Address /2J() ~~../ City ;;;: ~ / ~/ L Phone .?.('~ -...,.--s-Z ,- ")?~ J~ ~/? t- , 'ftF300 Expi'r.ation Date ~(~ i? 200 amps or less 201 amps to 400 amps Signature of Supervising Electrician Over 401 to 600 amps /? _ ~ ~ _ Over 600 amps or 1000 vol ts .. /'7 -" .........- C <" D. Branch Circui ts Owners NamEf-t J;.,I't / I)/? ::;/'ft..~') r )p;~d/e~ ~r>l\f\ ~~ New, Alteration or Extension Per Panel Address~"..rr-k. qVO~ J ~~ -.A1\ rAJ.. One Circuit $ 35.00 City _ _ Phone rT .Q~~~ Each Additional Circuit or with Service o TALLATION or Feeder Permit $ 2.00 New Residential-Single or Multi-Family per dwelling Service Included: 1000 sQ.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home 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 unit. Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $ 80.00 see "B" above not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. pTOTAL OF ABOVE ~ State Surcharge TOTAL $ $ $ 1 $ '1(,- "2-- yy .3...F- rY 40.00 40.00 20.00 36.00 ~-