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HomeMy WebLinkAboutPermit Electrical 1997-5-9 " '. _'GFIE~O..~.. .... . ..m '. J.A..~ - ' , . '- - ...at-.#.. ~-. -'~lJi"t''' ". T "'"".;.~;,~. .;;,g,:I ..' he folic . , ~~"~- '\~'~M:-':... . - '4 zoning ~~I~gdPrcJect CiS sU,bmftt"'c' 1>;:-., 1'~... of"'l~":ing ,,-, oe~ not roqulre \.1'", ' approval, I~C~, ..,. . 225 FIFTH STREET Zoning_ LIYt J . SPRINGFIELD, OREGON 97477Dme 5-rz.f1 INSPECTION REQUEST: 726Al769. --,--tJM OFFICE: 726-3759 'InOnZedS;gna!ure_O. 1. LOCATION OF INSTALLATION ,-J BG:.3 Uwf2A' qr .-t;fXl3AK,fIFa) A. LEGAL DESCRIPTION .i:ljJ '?'l 7/0 '!j.... [(If D '3<16 () 118~Ilf~~o3N~90c) Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY , Electrical Contractor}...<) C'dC7r> ,,"'_. Address(-?O,BoI. ")4Q~~ 'Ci ty_t:;u(~ Jl5Phonej,;,gl... /o7.?Jo Supel-visor License Number ?i{Cf75 Expira tion Date IIJ - J - qJ Constr Contr. Number t..~R 'lD~g9 Expiration Date 1-:l---;)-J''9 7 .Signature' of Supervising Electrician ~-<-- u A..J ;/ , Ovners Name,t),"Ic:.t;. [" ()JO.;Jt'Ah-F' AddressJalaD Ly.l)~'- I.ANIi: Ci ty -""Sr:t2JM,Hh-7J Phone::;H(,.'h.~_ OYNER INSTALLATION' ELECTRICAL PERMIT .APPLICATION Ci ty Job Number 410 7 / c; COMPLE'1'E-rEE SCHEDULE BELOII ~ Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items 1000 sq.ft. or less Each. additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular'Dvelling Service or Feeder .B. Services. or Feeders Installation, Alterations or Relocati"on: 200 amps or less 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps' Over 1000 amps/vol ts Reconnect Only' , . Cost Sum ~ One Circuit Each Additional Circuit or vith Service or Feeder Permit -+- $ 85.00 $ 15.00 $ .40.00 $ 50.00 $ 60.00 $100,00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps"oT less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600.amps $ 80.00 Over 600 amp~ or 1000 volts see "B" above @ Branch Circui ts ( Z. ~pt)k... ~/t2<</~ Nev, Alteration or Extension Per Panel $ 35.00 '?>~- $ 2.00 ~ E. . Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Owners Signature: Limited Energy/Res S'20~OO ... . ~/--,'~. . ~r . Limi ted. Energy/Comm. 7 S 36.00 . -----~--:-1;-1;--~--------------:#------ 5; .SUBT.OT/tL O.F ABOVE.. _ . . ,,:~ 7. oD .' "DATE:~Jf!l_ .," ',.' ........;."...5%..State'.Surcharge.".'. ,'.'" ..I:V'c::...:.... " ...:g~ivED ai[: JtMS~8,~ , . ,. '~;"'>~~;:'~5/'J~~r,.~~~~~:~,y,,;~(,:F.~~;<<~: The installation is being made on. .property I ovn vhich is not intended for sale, lease. or rent.