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HomeMy WebLinkAboutPermit Electrical 1997-10-10 . . "'"'00""'. ~. . j,....-.. . . . 'r.. ~ i" .,hing:.lC.t ( , , ._~b~LO~1 ~O~ & kuthorized Signature rf\..y./\. -# '?:J~ 225 FIITH STREET ~~ t::" ~ SPRINGFIELD, OREGON 97477 i/ ~ <<c:5 INSPECTION REQUEST: 726-3769 -;$~ '?:Jq,0 #> OFFICE: 726-3759 <<I,,~ S)c:5 ~~ ~3. 1. LOCATION. OF INSTALLA~N#,;f ~0 ~ 1:;'1./ (') 1-1('1 t-. i?,4'7f. ~~~~.f(,> ~,A, , f() \J' ~ _::~~ D~~P~~O;~~~~~ ~O~ ~ 0-1- '.,::1 :~: j "j . i '. .! "! i '! " ':i .J ';1) . . .:1 . .1 i ',' , .j .; . i i' '" JOB DESCRIPTION 1J ~ (..[,jJ ",.p Permits are non-transferabie and expire if work.is not started, within .180 days of issuance or if work is suspended for 180 days. City 1''-d ------ Supervisor License Number <.1../ 'L7 <; Expiration Date . fn-( ~ "l Y Constr Contr. Number '1 c, 6 €"'1 'Expiration Date /;L - d- 7 - '17 Signature of Supervising Electrician . . i-J-<~V ) e.LI_ Owners Name A- r A..-J 6 f\-IZ ,.J~~ H (i~: t... If I'f--fc" 0.0 Phon~ -211 (..: ~ 'i'...J::.3 Add ress l; L( 0 -:> Ci ty ;;ffl-'ri~ j ~A OVNER INSTALLATION The installation is being'made on property I own which is not intended .for sale, lease or rent. OVfiers Signature: --------------------------------------- DATE: . 10 - 10- Dt 1. RECEIPT 11: {7- I ltJ 10(, RECEIVED BY: Kuj 1 ELECTRICAL PERMIT APPLICATION City Job Number COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling Service Included: 1000 sq.ft. or less Each additional 500 sq. .ft or pbrtion thereof Each Manuf'd Home. or Modular Dwelling Service or Feeder 917/02-( uni t, Items Cost Sum '2. . CONTRACTOR INSTALLA:rION ONLY . .B. Services or Feeders . . KAS '21-"ii:l:, Installation, Alterations Electrical Contractor IC(,S'/fL li2ol:. IWbCo,1,-ifidior Relocation: . . , 1. . - - . , . \ ' Address ((. D ID ~ '" )..A/q.,,:'l 200 amps or less 201 amps. to 400 amps Phone /"ij,--;"?)"~L 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only .I ~/-- $ 85.00. I $ '15,00 1f IS. - $ 40.00 $ 50,00 $.60.00 SlOO.OO S130.00 S300,OO S.40,OO C; 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 lobo volts D. Branch' Circui ts $ 40,00 $ 55,00 $ 80.00 see liB" above New, Alteration or Extension Per Panel'" One Circuit. Each Additional Circuit or with Service or Feeder Permit $ 35,00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrig~tion . Sign/Outline'Lightin~ Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge. 3%'Administrative Fee TOTAL $ $ $ $ )TrD,'- '1.- -::r..- 109, - 40.00 40.00 20,00 36,00