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HomeMy WebLinkAboutPermit Electrical 1996-2-5 7?c?- ., ~. ~~;( .: a-'-- The iollc~v!ng pr'~Gc.t &!) nU111Yh~:~";;J l'u;.~ \O';j IO;il:i'!{li, z.onin~;, ~H1d '::o;;a 11".. r6Cju:r~ ~;:&:=!flc:. lend ut\o aF;:'io~'e:. Zoning rif CJ r<- 97477, . --5iC;C;--' 726~~~,~~f.~~q- /lAJ City Job Number ~~ Au""",_,'J S!g""""5~:j::.C0l'1r....,,u,, PEE SCHEDULE BELOII 1. LOCAT~ OF INSTALLATION .2....4,! . ) ArJ iJ Err E (l f) LL re:l 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 LEGAL DESCRIPTION J7..eJ>3A"3~C( &>(..V':< '9 , ,1...- .."" .....'"' . ...........JOB DESCRIPTIOll-, ,,::,,-=-, '? /7" ,0/ ~ _~r=/Z:.? Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor AnT ~prl1rl~v C:::VQ':,ems Address 1501 Pearl Street. S1l1tp R Ci ty EUQene. OR Phone 'i41-14?-1111 Supervisor License Number Rl 777,TJ," Expiration Date 10101/Qh Constr Contr. Number 59944 Expiration Date 04/2Q/Qh '-Signature of Supervising Electrician ~,(R~ 8 NameD".) R rAA.-TEI<- Address X'~X' [JA.IUETt"" ('(')LL 6 Ci tY~FLI) () e C}Jt/..zJr.one 51/./, '74/. f;/o mINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: DATE: 7~S 7"::: RECEIPT ,: 2.a>::;;>~ SO? RECEIVED BY: /' ~ ~_~ ? ELECTRICAL PERMIT APPLICATION A. New Residential-Single or Multi-Family per dwelling Service Included: uni t. Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modu1ar_ 'lNelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to_ 600 amps $100.00 601 amps to 1000 amps $130.00 " Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services 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 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. 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 -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm lQ...O.Q not included) 1 $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 20.00 LQO .60 11 1\0