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HomeMy WebLinkAboutPermit Electrical 1998-4-14 .~J .-' -. .. e, following project as submltled has II,,, zoning, snd does not require speedic land .~~Ielowfng approval, ...... 225 FIFTH STREET I rL V SPRINGFIELD, OREGON 97477 Z~nino _ . INSPECTION REQUEST: 72~!ll/i.Q OFFICE: 726-3759 Authorized Signature _ n rv'\., k'1~~TI!jJl~~IO~. A. LEGAL DESCRIFTION -17 03 'j u ;:).. ~ - 0 1/.:2 (a JOB DESCRIPTION f2.P (LIII.A Permits are non-transferable and e^~ire if vork is not started vithin lSO.days of issuance or if work is suspended for lSO days. Supervisor .License Number ~'S:o.1IE Expiration Date (0/'8 ., The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: DATE~------~;=;4=q-gr------------------ RECEI;! i: ." lC,J) /l:, RECEIVED BY: -K.<-J ELECTRICAL PERKIT APPLICATION Ci ty Job Number q ~ 0 Lf 3 L-/ r~TE FEE SCHEDULE BELOV New Residential-Single or Hulti-Family per'dwelling unit. Service Included: ' Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Service or Feeder One Circuit Each Additional Circuit or vith Service or Feeder Permit Cost Sum ~ 8>~0:i! Z ~~-icnU .~ ~ :r: " -t ~ m 9 mo- z .~ ::0 )>0 () N =-- .m m m ~,.. <OO-i: "1:J ~~O~ ~ ~O fflOF PS 3:60 ?QOm $&O~O~ $~O~O:D $ ~O~O~ m:D" . o~-i C. Temporary Services or Feeders" :::j ffi Constr Contr. Number (:y.,f'fI.(X-t Installation, Alteration or R~ooat~n ZO Expiration ,Date //'19~ 200 amps or iess $ 40~~ . 201 amps to 400 amps $ 55.00 Signature of Supervising Electrician Over 401 to 600 amps $ 80.00 ~ - . Over 600 amps or 1000 vol.ts see "B" above ~. ~ . D. Branch Circuits Ovners Name J.r.(JJ.A~.A" oJ 1:>avUI CU~ . ~ New, Alteration or Extension Per Panel Address 1l/'1.'J . J) L'~ CitY4~I<z!J Phone&Y/- 71{1-~817 OVNER INSTALLATION 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders ~. 1/. P Installation, Alterations Electrical Contractor"l7VUI,./U ~~or Relocation: Address80St(' ~- C!-...>I'4e....,JI lhr. 200 amps or less 201 amps to 400 amp~ Cit$IL<)~ Phone ~t{(-o>1,( 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 'S5.00 $ 15.00 $ 35.00 . $ .2.00 . E. Miscellaneous (Serviceffeeder.not.included) -Each installation' . Pump or irrigation $ 40.00 Sign/Outline Lighting S 40.00 Limited Energy/Res x.. S 20.00 < Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ,;).a,. 00 {.(gO .:Lf.(UL..-