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HomeMy WebLinkAboutPermit Electrical 2000-1-18 r ~;;.(....: ....-... , '.' '._':_'" .'. .~,", :";",,. .' ':'. ~:. ',~- -:,'~"" ,J.">,,;~ ':':,,', ,.' ': .-':. :., ,~"...:,-, >'.~.:< -:.::~;,::~~:?~,,:,{.~:,,;,~:?: SPRlNOPlBLD- ,I - ;'- CHANGE , .,,' .,;... . '.C,'. <t' ':"c' The followlnP prqiect as submineo has thetollow,ng , CASHIER: 003 ,..' 225' tJ.t'L"C'.)u\u'L zoning ana does not requlf" spec'~c land use ,ELECTRICAL. PERMIT APPUCATION'. SPRINGFIElJl; OREGON,:'9147'78I' , ~'~ J" ,', mSPECTION REQUEST:' 72~31'6l)~9 I( . "",' ,..:ity: Job. Number '1'9 I \os-' L:',. OFFICE:;-- 726-3759' Date . I~!!. ~\---.:- " ' , Cf(pJ 3., CO!IPLETE PEP; SWltoUu..&, BELOV 1. LOCATION OP. mSIAllLn:ttA,Signatur. IS\ 'I"r-(\j v, > 94-, A., LEGAL, DESCRIl'TION:. 170'7. ~:'\ 3L.- os-qern JOB'- DESCRIPTION,,' "'. ,.' *onY-- +0 ,SL'--l'C5\~ ~\n \t~\- ,Permits, are non-transferable and expire, if vork is not started vi thin. 180' days; of' issuance. or if 'vork is suspended for: 180 days. 2. CONTRACTOR mSTALLATION, ONLY B~. Electrical Contractor ~-()-m~~ Address \1)\ 1\, ~ () C'f'A-. ~ Ci ty"f'~\~ Phone Co~-aib . '-' . Supervisor License Number ~\-1)1~ Expiration, Date I'D/OV CDI \'--\:<1D C~. Temporary' Services or" Feeders Installation, Alteration or Reloca.tion, Constr Contr. Number Expiration Date~b\\O\ Address .. City Phone OIINER, mSTALLATION: Nev Residential-Single or Multi-Family per dwelling . Service Included:' ' 1000 sq. ft. or less Each additional 500 sq. ft. or. portion thereof Each Manuf'd ,Home' or Modular' Dvelling Servi~e or Feeder 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 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 unit. Items, : , Sum:' D. Branch' Circuits Cost:' I $.85':00-'",. . : \~ ...'...... ." $ 15; 00,':: $ 40.00, $ 50.00' $ 60.00 $100.00 ' $130.00 $300.00 $ 40.00 $40.00" $ 55.00, $'80;00 vo.Lts see "B""above,. .,~:... ,~-, .: New, Alteration or' Extension Per PaneL ': -..;' .- One:,Circui't', ' Each Additional Circuit' or'vith Service' or' Feeder' Permit $, 35.00;. $ 2.00 " , not included)' E;, Miscellaneous (Service/feeder, -Each installation Pump or irrigation Si;;::!0!.!tli!!e U~hdnlT r?l. Limi ted Energy/Res, Limited Energy/Comm The, installation is being made on property I ovn vhich is not intended for sale. lease or rent. Owners Signature: j-t'l - q--i) RECEIPT jI: 4P &S. - RECEIVED BY: .jQ..V DATE: .;t"1 '" 5. SUBTOTAL OF ABOVE ~% State Surcharge 3% Administrative Fee TOTAL $ 40.00 ,$ 40.00, $ 20.00 $ 36.00 %.00 '3b .0() r'-i EoD 5, (a:O ,;,\,'-\-8 y>~~'-t;U .gg. -