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HomeMy WebLinkAboutPermit Electrical 1996-10-10 10/07/96 12:33 ft503 726 3689 .. SPFD DEV. SER. .' ~002 . ' "Toe \<iilowing p<ol~t ';"...ulr. epee"IC zoning, and.,?or;JJiU "-'lp approval/ U Zoning~ - ~J .(\1\ . US FIFTH STREET Dale-L- SPRINGFIELD, OREGON 97477 ulb rl ed Signature INSl'BCTION lIEQUBST, 726_3~1l~0 z OFFICE: 726-3759 \, 1. LOCATION OF INSTALLATION ~~ ~.;,';:-~'" ~. LBCAL DESCRIPTION 17~:<f-:?2-&+:::> . t?2 ~&'S- / - s;.~.D:~P'f:-ON ~~~ . .. -'. +,-. . Permits are non-tran$fer~blR Rnrl pxplrp if york is not started within 180 days of issuance or if work is suspended for 180 days. , 2:-' CONTRACTOR INSTALLATION ONLY Electrical Contl."i1ctor SE:~}-rf,IU'NK ~A~d~es:~;~~'lN~ SiWAV B~tJJ) 'S ~~;~Y:.~ 1) PhoneS"Cl3..:26'J'- 3i.f3D T",.. ".f' \"'f" r-.;.( . . su'perv'1S0l." L1'cense Numbu 7 [f to J Lr i' , ."..., Expiration Dine /0-/-<(7 /c. ...,' . CUI'il>t~ CUIlU. t1uuIU"~ 005:~O("() Expiration Date "/5"'100 . Sipature~;;v~::r~riCian :l-v.~ Dr Addre$$ city ~. .,. ". .., . .,'-,.1 " ., . OVNER' INST ".'t"~'-."~~H"n. . '. r!{e'i'iistalladon is being made on prop~rty'~-ovn which is not intended ~6r"sale. lease or rent. '{.If"'' .....;,.. oVnets~Signature: . ..' ..,:,; to,,: " DATE::7::-:~12j-:l(7 4(;------- N:,,,t.o.C1 If: ?,:<, ~I ~q RECEIVED IIY: IIV _ .,-' J::I,J:;t:!K IC'AL PI:WIIT APPLICATION C1 ty Job tfWllber 9ff>eJ5740 3. COlll'= !'liE SCIlEDULE BELOw A. New I\esidenti..l-Slullle ur Multi-Filmily per dwelling unit. Service Included: 1000 sq.ft. or less E~ch additional 500 sq. ft or portion' thereof Each Manuf'd Home. or Hnnll1Ar 'nv..l 11"e; Service or Feeder B. Services or Feeders Installation. Alterations or Relocation: 200 amps or less 201 amps to ~OO amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Items Cost Sum $ 85.00 .- ..S 15.,00 $ 40.00 S 50.00 S 60.00 S100.00 $130.00 S300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation D. 200 "'"1'>;' 'UL 1..>;>; 201 amps to 400 amps Over 401 to 600 omp~ Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 5.5.00 $ 00;00 see "B" above . " New, Alteration or Extension Per Panel One Circui t Each Additional Circuit or vith Service nr Fppn~r Pp,rmit $ 35.00 $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Light,in)!' Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge . , 3% Admini.strative Pee TOTAL S 40.00 $ 40.00 $ 20.00 '- S 36.00 ~- -:;;-~, -"" .~~. ;J.-~~