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HomeMy WebLinkAboutPermit Electrical 1997-5-19 (2) , . "'. " T~", f.-.""\",.."t~. ' ::t . 1"'.oJe.. r~ . .' 1 '[':11... .....''''.nliJ . _'V"',o> r (1/.'P.Ol,:::I, " . Zor.;~'''~ . I JOIl DESCRIPTION I \Ium,()o.k,("\ ,<:,\'1)(/, Hen1- rnl^nnd le.+-kr.s Permits are non-transferable and expire if IJork is. not started IJi thin 180 days of issuance or if IJork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor y~""A Address \210 OA Ie. P A1""lA-\ \2.-0 City W,je0E': Phone Y B5' SSY I.f Supervisor License Number 1-/1../5 .SI (0 Expiration Date iQ-I- Ci7 Constr Contr. Number 1112<6(0 Expiration Date 2- 2- 9S c. Jr}-252>CU 10-/-97 Signature of Supervising Electrician O~M AI/OJ Address 01 50 Gc;.MJov GoOO C r. I' Ci ty0prif1jti d d-- Phone 7ZU(,f)1 ( OVNER INSTALLATION , The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ----------------7.;--------------------- DATE: ':)-(,-17 RECEIPT #: J c,'<6'-t I RECEIVED BY: VA' . \, '~'.'.:;l1J ELECTRICAL PERMIT APPLICATION City Job Number 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'DIJelling 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 Q1ot;.a. Sum S 85.00 S 15.00 S 40.00 " S 50.00 " $ 60.00 $100.00 $130.00 $300.00 S 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits 225 FIFTH STREET SPRINGFIELD, OREGON ~9'l4}7..::f-1 q -<;]J --. INSPECTION REQUEST: , 726_3769---1 OFFICE: 726-3759 "UiorlZooSignaturo ~ -3',--G6HP.I.El'E FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION 1--0 9A-hG.n A \\-e.()::::l \50 (2.,C.teA.DCuJ., \NV~ A. NeIJ Residential-Single or . - I Multi-Family per dIJelling unit. LIf9f'fl ~SWJgN {)?;xJr;n Service Included: Items Cost S 40.00 $ 55.00 S 80,00 volts see "B" above " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or IJith Service or Feeder Permit S 35.00 " S 2.00 E, Miscellaneous (Service/feeder not includ€d -Each installation . , Pump or irrigation $ 40.00 Sign/Outline Lighting I $ 40.00 I./'l'- Limited Energy/Res' S 20,00 Limited Energy/Comm S 36.00 5. SUBTOTAL OF ABOVE 5;' State Surcharge 3;' Administrative Fee TOTAL l/() . - .,t, trO I. JI. 0 . 1I~.pW