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HomeMy WebLinkAboutPermit Electrical 1997-9-15 " The following project as submitted h.Gs the followin;) zoning, and docs not requlro opadfic land UCQ approval, . -;")12- ELECTRICAL PERMIT APPLI~A O~ . 97477 Zoni"" Lv (\ I n 726D~~~ I ! S l'lr - . Ci tyJob Number V\ \ 0 t Authorized Signature 1. IrJ ~TE FEE SCHEDULE BELOII 1. f\f;t\r-~t \~~t~TION - A: \ ~~'i:J:lfn1'l&[)O ~~:r:~:~f~~:" ~"d .,,;, if work is not started within 180 days of issuance or if work is suspended for 180 days. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Ci ty STALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~E~-------7--~--~7CQ~~'i'--~---- RECEIPT b: rA. 1\ f\' ~ ~ RECEIVED BY: . I !)A ,j( I I ./ - . . . V vJ~'-- New Residential-Single or Multi-Family per dwelling Service Included: Miscellaneous.(Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder . One Circui t Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administratjve Fee TOTAL' 2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders \ II\Y , '(), ,C\ -:tInstallation, Alterations Electrical ContractortoJ.' pf\?-~e, 'l\\\1f'(UeOor Relocation: Addres's \)() ~ \\ \ N(\... . . _' 200'amps or less $ 50,00 Ci ty~ \W\\Ji \\p" pl~~!\D4-<6. ~gi ::~~ ~~ ~gg ::~~ _ ~l~g:gg ~urH.~' ~ 601 amps to 1000 amps $130.00 Supervisor. License N~rO~ ~~G Over 1000 amps/volts $300.00 " AA;;-".~ Ut\10 ., :orPI'" Reconnec t Only' $ 40.00 Explratlon Date '~#~~\' ,~R~l.. 'i~/~ \ ^ IS ""77TS P .C. ~8'ijW.?:ary Services or Feeders Constr Contr. Number~ c ,'. ~8-4AJ~ ~""41lr~rf~lation, Alteration or Relocation (\ U ~ Ol\lcD S 1\10 (.d.J\ Expiration Date ~.\~.q 1\ ~Ot$O(J7;.mps"oT less $ 40,00 .lLL .201 amps to 400 amps $ 55.00 Sign.'~~fre of Supervising Electrician Over 401 to 600 amps $ 80,00 1(/ /1 /I, .t.' Over 600 amps or'lOOO vol ts see "B" above a........r (IA..;J!;,-<-<- , l I . .1\ ~ n D. Branch Circui ts Owners Name \'J..lt\MUI . \~ Y- '1\ h^ ....,~ l~ New. Alteration or Extension Per Panel Address~ 0 ~) \\)'" C)\ . Phone ~ -"1: 01Q) uni t. Items Cost Sum $ 85.00 '$ 15.00 $ 40.00 $ 35.00 $ 2.00 not included) $ 40.00 . $ 40.00 $ 20.00 $ 36.00 41?f2 ~