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HomeMy WebLinkAboutPermit Electrical 1996-6-7 ~. .,- SPRINGFIELD . . zo~in~, and doas not require epeclflc land uee approval. 225 FIFTD STREET Zoning,' I.W SPRINGFIELD, OREGON 97477 __ In '1'Cf /p INSPECTION REQUEST: 726.J301~ OFFICE: 726-3759 Authorized SignatUre 1'/1 3. 2. CONTRACTOR INSTALLATION ONLY B, Services or Feeders , ' I' J Installation, Alterations Electrical Contractora,/b-1 /fJl'q ( ~,..c.;+'()-c..or Relocation: Address..!/..2..J S" PO?5....;./ol/;,w~J 200 amps or less ,..Q.- $ 50,00 ,..., 0../) 201 amps to 400 amps $ 60.00 City 1..-~ f;.A/1~ Phone, K CJ71/()S-5302 401 amps to 600 amps _ $100.00 o 601 amps to 1000 amps $130.00 Supervisor License Number 3 5 7g S Over 1000 amps/volts $300,00 .'. . Reconnect Only $ 40.00 Expi ra tion Date J 0 -/ - 9 S- ..--- C, Temporary Services or'F~ede ,/!I Constr Contr, Number 9::5 <J!; 3 Installation, Alf!JJ.l!!tJn cation Expiration Date 9-;? /-14 200 amps f~ rjl'7r40,oo 201 amps ~'~OO amps $ 55,00 Sign~~of Supervising Electric~n Over 401 to 600 amps S 80,00 ~.4-' V f?1p----r ' Over 600 amps 0:.J0~0 /~~ 1ee "n" ~ove . '~, '......( . D. Branch Circuits1\"?.{ { J. c1.2-r Ovners Name Do l,ct (rI_LU, II ~ C(......... ') ~ ? , .. - New, Alteration or Extension Per Panel Address 1'1"'2... 1-. On-. .,''"' J~ C1ty--Sf-CJ Phone 7J.f7- 5(J9 ( OIINER INSTALLATION 1. LOCATION OF INSTALLATION 1'7/0'2 J..,r/l.... r.?~1 cI \-i6~~ON (J\fYY) I: S 3 JOB DESCRIPTION J d.cv... n. .~"r.,,, P"""-,, / '/ AiJ IPo.4 Pc"< ....- - . b w t.rO 4--1' S.;Jh t1'......c.., Permits are non-traftsferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days," I'll The installation is being made on property I own which is not intended for sale, lease or rent, Ovners Signature: DA~E~------~-~~t1r~----~-~---- RECEIPT ~: J \4::::> II,{2 RECEIVED ny: ~.' ~YA / A. ELECTRICAL PERHIT APPLICATION q~\(ffi New Residential-Single or ~ :::::.::: :::l::~:'''' AI. Service Included: City Job Number Items Cost Sum ,1000 sq.ft. or less Each additional 500 sq, ft or portion thereof Each Hanuf'd 1I0meor Hodular Dwelling Service or Feeder $ 85.00 $ 15.00 S 40.00 ~CXJ One Circuit Each Addi tional Circuit or with Service or Feeder Permit ~ $ $ 35.00 2.00 laf9 E, Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline LightinV $ 40.00 Limited Energy/Res $ 20.00 Limi ted Energy/Comm S 36.00 5. SUBTOTAL OF AnOVE ~1'J -pO 5% State Surcharge ~~f'~~~ "'raTA!:; 3% :;1,., -rol-~ \\ t.