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HomeMy WebLinkAboutPermit Electrical 1997-2-18 . '. I' ., S.GFIELD .' l The, fol/owing project assubmf:~,..~I :-._,.. .1. ' '~",_. " . _ zoning, and does not requ"',,,, ' approval, "" -,"" ,; , ..~: , - 225 FIFTH STREET zoning_~V ~LECTRICAL PERKIT APPLICATION SPRINGFIELD, OREGON 97477 Date) -I fS ,a~ - . . f INSPECTION REQUEST: 726-3769A thl. ."y\ nr-....... . Ci ty Job Number Y? / / L. OFFICE: 726-3759 u onzOd Slgna~UjeJ " · - . 3. COHPLETEFEK-SCHEDULE BELOV 1. LOCATION OF j:tJALLATION .->>'-/. ~ <3 J _, :.("1 JT TrIO / LEGAL DESCRIPTION J7fJb _~3 I"Yn Jl')1.S8l') ~B~S~~~~ )tJ)() . A. 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 .B. Electrical Contractor L~ ~~ 1 ' , Address---,~~ W /1 Z! A:lL:O ; City Eu4 Ph~~&~~rS? :i~~":..I,,!:~.. Licens er IhVI1; L..I.Af~~ J. 'J 17 a9 Explra tlon Oa e - .....7 ~ . __ C. Constr Contr. Number J I ;)q(gl " - . Expiration Date S' o~Supervising Electrician '~ IV ~~ .~ Owners Name ~Crl!'J... WtS1..UI- , Address S"",,'''' ]);q..l~"f .:tJ: 101 . Ci ty 5ftf.c~Pt~ Phone ~ 1.-i l/iO OVNER INSTALLATION ~ , 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 Ser~ice or Feeder $ 85.00 $ 15.00 . " .-- $ 40.00 y~ 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 $300.00 $ 40.00 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" 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 Limited Energy/Comm $ 36.00 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~I~~{~:;-Cf~----~------------- RECEItr I: ~ V _ X- -:2-0 -<; RECEIVED BY: ~T ' : ~ b-fi u 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL Lji!). .,.p , ~.~, / . -::z &' ~. '20 ( -