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Permit Electrical 1996-2-23
. .. . .. - . I ....... I r zoni~g, and does not roquiro &PBC:W~ 1!l.'lU U~ approval. I f) n I- 225 PIPTH STREET Zon;"" i'f, rJ.J1U - ELECTRICAL PERMIT. APPLICATION SPRINGPIELD, OREGON 97477. ~ INSPECTION REQUEST: 726_3769'010. ~ City Job Numbet"~/4'3 f(~ OPPlCE: 726-3759 . Aulhorlz odSlg 8M3 - - . - . . _ .:3. OMPLETE PEE SCHEDULE BEW\! 1: LOCATION OP INSTALLATION ;1.1:1 --107j L A~G L (/~ A. Ne... Residential-Single ot" Multi~Family pet" d...elling unit. Service Included: Temporary Services.or.Feeders Installation, Altet"ation ot" Relocation 200 amps ot" less \ $. 40.00 201 amps t9 :400 amps $ 55.00 Over 401 to 600 amps $.80.00 Ovet" 600 amp~.. ot" 1000. vol ts..see "B" above D.. Branch Circuits . LEGAL DESCRIPTION /e~2~-/-=<). /c::J/C>b . / JOB DESCRIPTION T/EwtJP . . ~ E;Jev'-c.C \', Pet"mlts at"e non-t~~nsfet"able and ex~fre if vot"k is not stat"ted'vithiri 180 days . .of issuance ot" if vot"k is suspended fot". 180 days. . 2. CONTRACTOR INSTALLATION ONLY B. Electdcal Contractot" /.,.t/' wfot.f1. emf Addt"ess .ft?~ .s h~ {f<A, srt'.. I City ,(lflJ Phone 747-:o8'IL . Supet"visot" License Numbet" 3 o-v<.. - So . Expiration Date 10-1- 'f.(.. Constt" Contr. Number .. o,j?~<;C" Expi"ration Da~e"-..~-~ upervising Eiectrician ..,: /~.A'~~Av~ Address qZC?/ /V/~.::.~~, . City/~~' . ;'PhOne?'/?<='~/ 01lNER INSTALLAT!ON :rhe. installation. is:. being made .on propet"ty.~ o...n....hich is not intended for sa],e, 'lease or ~ent. . .Ovn,et:s Signa tur.e:. .. .,: . . .... .. .' :' "." ..... '.. DATE: ~- '2...,."76 RECEIPT, i: . -:a::>7"g,o. . RECEIVED D"Y:~~-6':": /. . ,"-,' Items 1000 sq.ft. ot" less Each additional 500 sq. ft or portion thereof. . Each Hanuf'"d Home or Hodular Dvelling Service or Feeder Services or Feeders Installation,. Alterations ot" 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 C. Cost Sum $ 85.00 $ 15.00 $ 40.00. $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40-.00 Ne..., Altet"acion o~ Extension Pet" Panel .One Ci rcui.t. . .Each Additional' . . , Circui Cot". vi th Service . orFeederPe..imi t . . . "..:,..",. . 5.. S.UnTOTAL Oi.ABOVE 5r .State .Surcharge TOTAL . .. " :. ..'". : '. . ~..; '.', ,", + r~:plo . Mffi"f\ ~~ . E. . Miscellaneous (Service/feeder not included) . -Each installation ~u.ini> or irri.g~tioh. $40.00 S.1gnI.OuqJh.~ Lighting $ 40.00 Limited Energy/Res :$ ,20.00 IXmi t.ed_~n.~J'lry/Conim $ ."36; 00 $ 35.00 $ 2.00 \~O .6'0 L. ~. I . 7::CoI ij'::j'. ::;?~