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HomeMy WebLinkAboutPermit Electrical 1997-5-15 ThE' fr-,l:')wing p!'ojc~ . ZOOli ,~: .nd doo9 f1O, approvJ!. t.(. ZZ5 FIFTH STREET Zcn!ng SPRINGFIELD, OREGON 9747), (., _ c- c,;;i n___ INSPECTION REQUEST: 7ZS"}3769. ~, OFFICE: 726-3759, Authorlz<>d Signature f.J /"A j:'-COKPLETE4>EE SCHEDULE BELOk' 1. LOCATION OF INSTALLATIO~L ot7QO ~ s:m;~. . A. :)pnfl.9 hcicl I vti. /70?'l2(X)D2?OO LEGAL' DESCRIPTION IL.:::> / ' . , ' ~)( AL.t h /J.M;p. I).tlJ'-'-. . JOB DESCRIPTION () r;>.l7:u W I~ v Permits are non-transferable ana expire if work is not started within 1BO days of issuance or if work is suspended for 180 days. Z. CONTRACTOR INSTALLATION ONLY ,B. , Sw~he/Y\ Ofl'CfCY't Elettrical Contractor ~kcvW\, .D\..c.. Address ,qO/ M.tJ NiM.-NlLlal\d, &v-k If City Kc)JeloL-Lrq PhoneSJ.{l-b1). .JIQR Supervisor License Number Expiration Date yons tr Contt. Number 00'7 fe,5).;L, Expi ra t ion Da te q J lip J Of? Signature of Supervising Electrician Owners NameS()(jJJ, utlJ:;Q{/(j 13fttA. D, --, Address <;q FCI, r 11.~h. I4v J ,. . City r-:()'~hP _ Phone .~L/~ - 232S 0k'NER INSTALLATION The installation is being made on property r' own which is not intended for sale, lease or rent. Owners Signature: DATE~---~71~J"tz-~----------------- RECEIPT 11": " bl'- -/-/0; RECEIVED BY: "^ .111..1...._ .,nn I'ih '. ~~ th:) following ". Lnc U:::J ELECTRICAL PERKIT APPLICATION City Job Number q 7 () :2 7 0 New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. 'Dwelling Service or Feeder $ 85.00 S 15.00 $ 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 S300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ BO.OO see "BII above Branch Circuits " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limi ted Energy/Comm $ 36.00 Jt?W 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 310,00 l,tV ! ,OJ{ :~'7, rnr