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Permit Electrical 1994-6-17
, ,....f TIt.. foHowfng project ..i Gubmltted '-l ~Ia . :'4" 225 I'IFTlI STREIn zoning, and doe. not require sPoe~~atIlrtire' ,,~tAL PERHIT APPLICATION \ SPIUNGFIELll, OIlEGON 971<77 epproval. n A t-nD INSPP.CTION REQUEST: 726-3769 Zoning t~, Ci ty Job Number T'LJ\ OFFICE: 726-3759 I Date 0-17-Q1'3. COHPLETE FEE SCIIEDULE DELOII 1. LOCATION OF INSTALLATIOtluthortzed Slgnlllure I'J. M- ~-,SO c-.....~u()O'1' ~. ,A. New 1\eS1U""L~QI-Single or -10~^A,CO Hulti-Family per dwelling unit. LEGAL DESCIUPTION \ I~~C(~~~ Service Included: '-"""<(f ~ ~;'L oA.:-<i V Items JOD DESCRIPTION 1000 sq. ft. or less )::\H~U~'.c.,~ ~",,-\,...,c-~~ Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Hodular Dwelling Service or Feeder :. .. , '.1 ,1 . " .1 j ! " ,! '1 , " ,j " " :! i ;1 ;, ;1 , Permits are non-transferable and expire if work is not started within 100 days of issuance or if work is suspended for 100 days. ""3"c~*;;)0 '3 s ::t CON1~CTOR INSTALLATION ONLY '.; ;l " 2. Electrical'ContractoL'~"-,< t'''-L~~'c... F, AddL'ess ~nD \ ~\:... \~~",,,~...._c)~'\1:l.C'). C~ 'ty ~"'" I\\o.:....~ I PI.1f)ne d3::r- 3<:0 ~, ! ~;. ,:' ,-;', I '" j' ',,' 1! /; '. ~ .;~ ':',:" .1: . ....., Supervisor, License N'umb.er:\'\Oa.S$ Expiration Date 10-1- 95 '.i ;i Constr Contr. Number \J;c.".# :;)t,.-I;:}.'d .. Expiration Date /0--1-9'1 .:1 (0 "-\-.'il."",,.J... -ft 1.\'\,'0:;1, ~ - ~Ni'''~'''''' ~-?.C>-"'5' " Signature of Supervising Electrician ~i d~2 ~~ ' - ' / . ,I ::::::;}1~~tillJLX11 '; City~.ll iJ)J Phone, ~: '" 'OIlNF.R INJ'ALI..ATION' ~1 _"0.1 ,::'1 ~J i{~ ~: "if ?: " ~'j' ~I ;t, ~ tt }!. .The insta1lation,is being made o~ property I own whici, is not intended (Jor. safe: "Ie"nse 'or L~nt.ll;'-' . . - .-- .~. -. - Owners Signature: ., , " Hi' :i!: ~~f~~:--pTic;~\;y~q*~--'=----~--i~;----:-- " ~ ~~g~i~i:() ft ilY: "~~ m~'~. _m'_~___ Cost Sum $ 05.00 $ 15.00 $ 40.00 " D. Services or Feeders Installation, Alterations or Relocation: $ 50,00 $: 60. 0.0, $100,00\ $130.' ~O') .; 200 amps o'r'less 201: amp'st'o' 4'00'. 'amps 40i"',,'mp's: to' 600' :amp's'" 60r'amp's t'o:.1000: 'amps U.""' .,.r"'....,.- Over"1000'amps~volts $300.00 Reco'nne'c't'Oniy -: : '"';':' '''.' 'd. !'$. 40.00. '. '" C. Tempora~y 'Ser~ices 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 $ 40.00 $ 55.00 $ 00.00 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit \ Each Additional Ciicuit or with Service . or Feeder Permit' ~C" $ 35.00 3;::>. $ 2.00 . , ..' .... E. . Hi scellaneous (Servi ceL(eeder .no ti ncluded) -~Each.'instai1ation'.- - ,:.,..!' '.. . '~,\;mi>-.oL;' i:rrigationl';',' ...... ,$ :4.0:0:0 "Sign/O\';tli'ne'i.oL'igli'tTng:$ 40.00 'Limi ted Energy'lRes" ; $ io.oo '. Li'mit'ea Energy'/Comm' '$ 36.00 , Ii 5. SUBTOTAL OF ADOVE 5% ,State Surcharge TOTAl.' '3'5.00 ,'S ~CJ'> ;: