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HomeMy WebLinkAboutPermit Electrical 1997-9-16 . . SPRINGFIELD .... .~......1' ~ ~ .... Th.~ ~ollowi-:D pro.\~ct :la. :i:tj..Jm.:..\.~ ':/.... . ~ "...! ,4- es not raqUlr.J ...p_..... .. ,. " ;.:on:ilg. 7".... ....1.. 225 FIFTH STREET O>'11'O""'~ " L.A::M! SPRINGFIELD, OREGON 97477 LO,dr",' INSPECTION REQUEST: 7~~".;H~-H.(.::.q1 OFFICE: 726-3759 Y\",^ Authorlz'.J{l signut;.J;e__j.....!.-L-]~ 1. LOCATION OF INSTAL~TION de:; "I 6{/f-QJc~ A. ( - LEGAL DESCRIPTION /tAtO Z. Or 2/ C) 5- ~ crt) JOB DESClj,IPTION ~/, >>.wM jlJK :1". F #. Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ED HA<.A::.'C. Address 57310 City SPfo ("4_;> cree,; Cd 7/0 -t-/ 7"'Lf Phone '71(,;,-70'-f0 Supervisor License Number 35 '77- S Expiration Date /0-/-<78' C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Contr. Number~'2~q Expiration Date ~-1-'11 Signature of Supervising Electrician ;P' CZ;( ~ . Owners Name J1nf^- ~A-'7r lAJ<L, ,i--~"l'" --~: , Address .j) /) /?-'y ~.~~ Ci ty ~/.tI#7Tj Phone ~ 7r;<7-,'l,~ OVNER INSTALLATION CC97/?<"<-c <<..QK-) p/tfIm?c The installation is being made on property I ovn which is not intended for sale, lease or rent. Owners Signature: J/~4'~;J.<> #/73h.., -----------~--J7:1--------------------- DATE: '1. /~ n 7I-27f2-L' _~~........~ 1.1_' I '.f',' ::--.' ELECTRICAL PERMIT APPLICATION Ci ty Job Number COMPLETE FEE SCHEDULE BELOY Nev Residential-Single or Multi-Family per dvelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dvelling Service or Feeder .B. 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' 'or less L---'" 201 amps to 400 amps .Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circui ts 97/J7f5 uni t, Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 ~f)trU $ 55.00 ~ $80.00 see "Bt' above Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation . Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge ,r. Administrative Fee $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 W,OD , ')...'f'o ,. -~ .. 43,"LO