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HomeMy WebLinkAboutPermit Electrical 1997-8-25 "Tile, following project as submitted ~ tho followin zonIng, and does not require sp&ciiic I~nd u"'o g epproval. .... ... Zoning YV\ I 225 FIFTH STREET 0"'/1' .-ri...<yq'/ SPRINGFIELD, OREGON 9747])-'- -I INSPECfION REQUEST: 726"'3'l.6.93ignature h fY\ OFFICE: 726-3759 3. )....."J.,OCAT,J;ON OF INSTALLATIO~ /7_" 8' / VJLad/nO/lcL t:e.rru.... ~ o LEGAL DESCRIPTION ), O~ /C-f (0 ()/ df)/ c, ~ JOB DES9UPTION c,cJ'c.:r ... ~ ()~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~I ~"j ~~~~~~~~~-~~~;1-----~---~~--f\\---- RECEIVED BY"""'!, mrY(J~)-a~ ELE~CAL PERMIT APPLICATION Ci tyJob Number Q7 J 00 7 COMPLETE FEE SCHEDULE BELOY New Residential-Single or Multi-Family per dwelling unit. 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 One Circuit Each Addi tional Circuit or with Servic~ or Feeder Permit I() E. So SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL Items Cost Sum $ 85.00 '$ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 50. dO 2. CONTRACfOR INSTALLATION ONLY B. Services or Feeders ~ I. J. fl ,rt-'1~nstallation, Alterations Electrical Contractor (llr.t)\(l~ ,l\1 j'v or Relocation: Addres's~ 0 P(\ \ \\lDc\, 200 amps or less / C. I'lAf.l11J n.., 201 amps to 400 amps City U. 'f1~ Phone ,,,.~ 401 amps to. 600 amps 'Cl nc...f)f\Q 601 amps to 1000 amps Supervisor License Number N., 'loll.) :'l Over 1000 amps/vol ts 1.f.\...J. _ J.>, 0./ ~ Reconnec t Only Expiration Date tuO[[Ur.F'\ t \ C. Tem~orary Services or Feeders Constr Contr. Number THISlltB~ALLEXPIREIFTHfrWftlliIKl.ation, Alteration or Relocation Expiration Date ~~:~qRIZ~l!.~~~HIS PERMI1b~N~Jps' 'or less $ 40.00 vv,v,MENC ORIS A ANDONED fl*! amps to 400 amps $ 55.00 Signature of Supervi~~~~~E~~. Over 401 to 600 amps $ 80.00 , a-~~-::_:::........c;:::'~ Over 600 amps or 1000 volts see "B" above ~ CA' r ,/I "...-- D. Branch Circui ts " Owner ame ,CLL<....-t:li./ 'LIMrf J\t7/,)J- f2 _ <f::fr'v New, Alteration or Extension Per Panel Address:?!?// \OO.JLLj,...Lr> 10 Ci tl;;~~fl-;j / P'h~~~~& >? 3-:5/0'{ OYNER INSTALLATION . Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $ 35,00 $ 2,00 dO. (50 not included) 1/ $ 40.00 $ 40.00 $ 20,00 $ 36,00 70, cro ,,5,50 ..:J In g 75. (pO