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HomeMy WebLinkAboutPermit Electrical 1996-9-6 . .:-"- SpnINGt=IELO.,. 225 .FIFTll STREET SpRINGFIELD, OREGON rnSPECfION REQUEST: OFFICE: 726-3759 zon;ng~ 9747-7-:rJe~- {p.tj(j 72 '- 37/.. 9 'HU...~r",ed Signature ~/l 3. COHPLETE nE SCIIEDULE BELO\l 1." LOCATION OF INSTALLATION L~ (., ~ 7) c..L.t,I/~lb1-F r LEGAL DESCRIPTION -11b ~ ') ? Lf20 r.c ?/if) JOB DESCRIPTION t../lU NEt...! CAKJI-M c - .. ~ Permi ts are' non-transferable and expi're if york is not started' yithiri 180 days 'of issuance or if york is suspended for '180 days. 2. CONT1L~CfOR INSTALLATION ONLY Electrical ContraCtor [,,11, IUolUZt~ Address 4-t?:, City ~Pfo. ELlj:':! ~IfE'-'- c-, <;:;'112, Phone '7 47- orll , Supervisor Licen.se Number <3 OVC:.- ~ /tJ-/-1k Constr Contr. Number 019."3(" t,-R'~~) Expiration Date Expi'ration Da~e su~::~~ectrician I.~ ovners N e Mi Ii (J v ~t11 Addressjyy~, an-/h~ &L City 6tlJ.wo,.', 'Phone ~'1C)-7qbo; O~rnSTALLATION The installatioh,is~beirig made on 'property ;r: Olln ,~hich is not intended' for sale; 'lease ot' ~ent. Ovn,ers Signature: , , ." ", DATE: "'-'i-If!"; RECEI~ ~: . 2'1,()iPI, RECEIVED BY: t.V. ELECTRICAL Ci ty Job Number A. Nell Residential-Single or Hulti-Family per dllelling uni t. Service Included: Sum Items Cost <J76~ 1000 sq,ft, or less $ 85.00 Each additional 500 sq. ft or portion ~ thereof,. \, $ 15.00 Each Hanuf"d Home or Modular Dllelling Service or Feeder $ 40.00 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 /36 a:!- $ 50,00 $ 60.00 $100,00 $130.00 $300.00 $ 40-.00 C. Temporary Services'or'Feeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 or less t<;> 400 amps to '600 amps amps,or 1000 D.' Branch Circuits $ 40.00 $ 55.00 $80.00 volts"see "B" above Nell, Alteration or Extension Per Panel Hiscellaneous (Service/feeder -Each installation pti~~ or {rrig~tion' Sign/Ou tline 'Ligh dng IAmi t,ed, Enetgy'/Res Unii ted"Energy/Comm .. .. One Ci rcuit' ,Each Additional , , Circui,Cor Ilith Ser.'i'ice, or' Feeder, 'Pe,r'mi t E. 5,. SUnTOTAL OP"ABOVE 5:4 'State ,Surch'arge TOTAL ' . ':". ,',., + ?:Ph 'Mm',{\ ~~ $ 35,00 $ 2.00 not included) $ 40.00 $ 40.00 ,$20.00 $36;00 '2.:Z0 ~ U <r~, l,.~ g37 ~