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HomeMy WebLinkAboutPermit Electrical 1998-9-15 . . r' '. fOllOwing project as submitt . I,g, and does not req I ed, has tho fOllow1n; eve!. U f8 Spocilic land use zO"i~iU , .,Q-o-7o B, Services or Feeders rl .1.' Installatiop,'r Alt_eratiRn~Jrequiresyouto' c. eel \,", C In(or Relo&TIIi'Ijlrj !ON.uregon a . . follow rules adopted by the Oregon Utility 200 al\lAAifill:atiihllS8lnter. Those rUI~j9tfOo~h 201 a~iIi~/IlFI9~00lQ,1.qlS1ull"uu\jh\s' . 401 afllJOOct.O{cMltla!,~m cop,,,s!l1:1: .r s By-- 601 ampscalRng.(lilibmt/lE lNOle: thl)t~~~~~e Over 10~Brnlf@;li'fdr'!I1i!lOregon Uti1i~~!le~tIO.. Reconnec t On Je'enteris 1-800-332-~.. 00 Signature of Supervising Electrician , ~JJA {;2A~ D. Owners Name .'JJ,' c-Ju..e.2.'. I ea+het\t(t(-k. Address 31Cj 4 Ga.-\fIA~ ICOf::::> Ci ty "COr (0?f'ad Phone 7 7,lfJ- &22- I OVNER INSTALLATION 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97 MOltZcd SlgnaturG-lL~ 726-3769 1.') LOCATION OF INSTALLATION :::;, Jq 4 (''nO\. tecu~ I 00 ~ LEGAL DESCRIPTION 'Jj . 1 7632-2Z. 6 2SO/J JOB DESCRIPTION Lo C'_VJCl J\ t~ Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Elec trical Con trac tor1)l J ild:::rs Address /qs fvbd ","'\C\V\ City EUyfY\{" ....I Phone 4'&5 - ()q ZZ Supervisor License Number J- '1"70 -5 Expiration Date JO-)-99-.. Constr Contr. Number 42, q(p~ Expiration Date 11-1()-9~ The i~stallation is being made on property I o~n which is not intended for sale, lease or rent. Ovners Signature: DATE: RECEIPT *: RECEIVED BY: -----------ifP--- -~ q IS: 'h '<1'1 I--V /l ' - H/ tAl ELECTRICAL PERMIT APPLICATION '-'"'.'I Job Number 1361 r y 3. COMPLETE FEE SCHEDULE BELOV A. Ne~ Residential-Single or Multi-Family per dwelling uni t. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular 'D~elling Service or Feeder $ 40,00 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 1000-vorts $ 40.00 $ 55.00 $ 80.00 see liB" above Branch Circui ts .' Ne~, Alteration or Extension Per Panel $ 35.00 35.(J:) One Circuit Each Additional Circuit or ~ith Servi[c~ or Feeder Permi t ~I $ 2.00?gt (]) E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40,00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL .J';' 7"1. en> j. d'1f _~ ';::'7.;;-- --7 r. ~ ~ - ,