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HomeMy WebLinkAboutPermit Electrical 1996-6-14 . .~ . . The following project as oubmll1ed has the zoning. and does not require 9p'ocific land u approval. ,; I he... ELECTRICAL PERMIT APPLICATION 97477 Zoni~---,-, - ' : f\ I ,/\1 ^() I A 726-3769>te./l' L4~::; City Job NUl!Iber '--\\~} Authorized Signature VY'\,i\ j: .. i!vrln....lL ru SCHEDULE BELOit 225 FIF"rlI STREET SPRlllGFIELO, OREGON INSPECTION REQUE'ST: OFFICE: 726-3759 1. n.LOC4nQN ;tOF INSTALLATIO~ 11. _ "'~\ () 'AJ '" ~ . 't:(Y\ Ql . .. - . --1~I _ 4rJj 440~ rE~~O\~~ 1 ffi ( ~~O~ !I Permi ts are non-transferable and exp~r\) ) II if vork is not started 'vi thin 180 days 1'1 of issuance or if, vork. is suspen<led for Ii 180 days. ~ 2..' CONTRACTOR INSTALLATION ONLY B: I' II ,! Electrical Contractor p~TrTP~ Address ,170 Mp"nn.. r."np CitY....ElJgpnp Phone ('RR-6121 Supervisor License Number 2719S Expiration Date 10/~ cl ~ Cons t r Con t r. Number 20-179C I Q-U~ , Expiration Date 10/95 I Signature of~pervjSing ~lect~ician L--<1 - - ~' Nc...."o'evn, 0\~~"0. ~ Ovne~s Na 0,/I{'~ Address \ . Ul.Ji \ \ ~ . CitY~~Phone\~'~ OllNER \NiJL:-~ON D~ , i I I II Ii II I, d ii II II '! ! , i -r:,' It7 r" ~~~E~------------------ \U~-\\~~l"~ ~i RECEII'T II: j" --\1 fl. '. . I RECEIVED IlY: '() ~ \~,.J ~ ,i The installation is being made on property I ovn vhich is not intended for sale, lease or rent. . Ovncrs Sirrnature: A. ~ev Residential-Single or Multi-Family per dvelling unit. Service Included: " j: Ii 11 " " Items Cost Sum , ~ooo sq.ft. or less Each additional 500 isq. it or porcion I thereof Each Hanuf'd Home or !Hodular Dvelling iService or Feeder S 40.00 $ as.oo S 15.00 , ! " ! Services or Feeders ]nstallation, Alterations or Ileloca tion: ' , , 200 amps or less 201 amps to 400 amps 401 amps to 600 amps qOl amps to 1000 amps qver lOOO'amps/volts ~econnect Only I ~emporary Services o~ Feeders lnstallation, Alteration or Relocation ioo amps or less S 40.00, 201 amps to 400 amps S 55.00- .' Over 401 to 600 amps S ao.oo qver 600 amps or 1000 volts see "B" above S 50.00 S 60.00 S100.00 S130.00 S300.00 S 40.00 ! Branch Circuits , ; ~ev, Alteration or Extension Per Panel ( S 35.00 f:15 One Circuit , Each Additional ~ircuit or vith Serv~~ 'or Feeder Permi t ~ S , 2.00~ no t included) Miscellaneous (Service/feeder ~Each installation ~ump or irrigation ~ign/Outline Lighting Limited Energy/Res ~imited Energy/Comm SUBTOTAL OF ABOVE $7. State Surcharge 3% Administrative Fee 'UOTAL S 40.00 S 40.00 S 20.00 $ 36.00 '1m ,r}O , f.{5,"::) I/~ ~JLP