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HomeMy WebLinkAboutPermit Electrical 1998-4-22 ~B D~tTION . _-J.OOO sQ. ft. or less +S ~1\'4~~ M'.mI(\~\a..U1l..i\U~ach additional 500. SQ. ft or portion Permits are non-transferable and expire thereof if york is not started Vithin 180 days Each Manuf'd Home. or of issuance or if work is suspended for MOdular'Dvelling 180 days. Service or Feeder ~" .B. Services or Feeders >>V)} Installation, Alterations Electrical ContractorSecureCom,lne A 'I)P,'C! 't'~ or Relocation: '(/~ ""~ ':. Address 1126 Gateway loop, SUite 122, 0", ;SO", i9~ 200 amps or less $ 50.00 ~_~-...~ ~~ V)-UJ 201 amps to 400 amps $ 60.00 City Springfield Phoneg88.".~ ~A.-_ ~ ~)Ol amps to 600 amps $100.00 UO ...~O (/~ <6tll alllps to 1000 amps $130.00 Supervisor License Number 794JlE <?"L O~ e>~~~~~oo amps/volts $300.00 ',0... {s> ~ ct Only S 40.00 Expiration Date 10101199 ''9. -1<2 ~ /f<:o DlC. ~mf~L~)$erVices or Feeders Constr Contr. Number3-353ClE . ~.p~,l'~fop.Q Alteration or Relocation Expiration Date 10/01/98 200 ~;~~s S ./00.00 201_l!JIIp~ to ~OO amps. __$ 55.00 Over ./001 to 600 amps $ 80.00 Over 600 amps or 1000 voLts see "a" above ~~~- Owners Name~j ~.\((..o' Addres$~~ E. \~~l1..\Jc(\QE:. ci ty.E l)(.,.. f:{\t- Phone ouad has the folloWIng The folloWIng pro]ecl as ulre speclfic land U60 .. I . .. - . .- Om Authorized SIgnature 225 FIFTIi STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. WI14TION OF Ui~ALLATION lU"b - L LI C\ (Jt:; (\ LEC.hL~ION ~ 11n-;') 0\.' rv'o. r6)/.G-'1, c- 2. CON'IBACTOR INSTALLATION ONLY Signature of Supervising Electrician OVNER INSTALLATION The installation is being lIIade on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE~-----------~~----~.~~ R.ECEIP'f'"'1: i. \ ( 'c::.r-r \ llECEIVED By: 'C1:.~;:-~ . u ~ )-V-- . ELECTRICAL PERKIT A1'PLICATION Ci ty Job NWllber 0. ~f'r\ 15 3. COMPLETE FEE SCI1EDULE BELOll . A. Nev Residential-Single or Multi-Family per dwelling unit. Service Included: I tems Cas t Sum $ 85.00 $ 15.00 $ 40.00 Branch Circui ts Nev, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E, Miscellaneous (Service/feeder nOt included) -Each installation Pump or irrigation S 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res S 20.00 Limited Energy/Comm I S 36.00 ~ 5. SUBTOTAL OF ABOVE ~ 5X'StateSurcharge '_ 3% Administrative Fee TOTAL . ;... ~~