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HomeMy WebLinkAboutPermit Electrical 1996-12-13 T' t ,!?\,'j..,,, protect as &uhm:ttod ha:; tho fcliowi ,le o. / ,l~ J . ,.. l^'ld'19. ..' 19 ^"d HOC" not req~lre zpeClllC ~, Ze....11 I AI' ... oJ approv.t 0(2... ~ L L.cnllrg 9747jM".J1Jl~ft-r 726";~ZR9.zed 5ISI;stu''N-t-^. .' 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICB: 726-3759 1. LOCATIO~ OF INSTALLATION C::;~ '7 ~ 6LA-tY ~ LEGAL DESCRIPTION /Ja~d)-I- /1 Ol')~{) JOB DESCRII7ION ~-.r To hi!JAdt5 Permits are non-transferable and expire if york is not sta,ted vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contl'actor L j-;= E/edr/c 'X:I7C, _\e5S~ (\ \)r. Phone q 5'-\ 'lo00~ Supervisor License Number Y /14 C, Address '1 \ 0, Ci ty F illg./\P I ..Expiration Date \ () .-1 - q 5 Constr Contr. Number thSLJ"/S Expiration Date '3' 50 - 'if", Signature of Supervi~ing Electrician f('~u)o.N9 j, [) ilM OwloJ/1 Ovners Name ])llA(A.J{; !<:<t/t:i If-:T.f Address~:r I"~U~W:: ~ City ~, Phone_72.td~~rl'nO OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended tor sale, lease or rent. Ovners Signature: ~~TE~-------7j-lf]rc;--------------- RECEIPT j/: /40,/1) , RECEIVED BY: ( 7/ ~ ELECTRICAL PERMIT APPLICATION ~-Job Number q/..../~hfD , - 3. COMPLETE FEE SCHEDULE BELOY A. Nev Residential-Single or Multi-Family per dvelling unit. 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 H?me. or ~ /:""'d~(I:LL"eN'/T) Modular Dvelllng ~--T~' ~' j Service or Feeder $ 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 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 volts $ 40.00 $ 55.00 $ 80:00 see "B" above D. Branch Circuits " Nev, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL /S..cc> .7S" I~ ~ .:l-O