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Permit Electrical 1996-4-16
. .' z~~i~-9: and -does not require spocific land U8{ approve!. 225 FIFTH STREET Zoning_LT1\,< SPRINGFIELD, OREGON 97471 1) \ !{- \ It? -9.h . INSPECTION REQUEST: 726-3709'"- n Ci ty Job Number OFFICE: 726-3759 Authorize<fSignalUre S \:. . _ 3. COHPLETE FEE SCHEDULE BELOIl 1; LOCATION OF INSTALLATION .. 3550 l-/Jrt!-tJ'd" . . LEGAL DESCRIFTION \-1f-..'1h\11\l\I ,./, 1J.6<-( t.~ q /lttJhL t:AJ '" \ \ \ pt- L- \l.. V\J\OJJ JOB DESCRIFTION ...wlltl!: J./t:1..J ~ 11rA/ - "." ~ Permits are non-transferable and exptre if vork is not started' vi thiri 180 days .of issuance or if vork is suspended for 180 days. . 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor L.tI. IU~,!, /!'l.Ec-r Address A\?'7, S Hb.l.~ <z~;'f'.e.. City~ f Fo Phone. 7 4-7,- 08"1 \ . Supervisor Licen_se Number /ltlJb-S Expiration Date JO-I- ~f' Constr Contr. Number ol?~ r Expi'ration Da~e_L-?'- <j~. .i: Ovners N J.q.. Address~S~n ~'.(\rm-lL~,' CityJNJtL\. Phonel1Jo4~ ~\1;STALLATION A. Nev Residential-Single or Multi~Family per dvelling unit. 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: Cost Sum 200 amps or less ~ 1 201 amps to 400 amp's 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 $ 40.00 $ 50.00 I t:n> $ 60.00 $100.00 $130.00 $300.00 $ 40'.00 C. Temporary Services'or'Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $80.00 . voltS"see "B" above 200 amps or less 201 amps t(;l AOO amps Over 401 to 600 amps Over 600 amp~.or 1000 D.. Branch Circuits Nev, Alteration or'Extension Per Panel . .' .. 'One Circuit .Each Additional , Circui.f.or \lith Ser.v'ice 6rFeeder.,Pe~mi t $ 35.00 $ 2.00 The. installation is: beirig made on property.! ovn.vhich is not intended for sa~e, 'lease or ~ent. . Ovncrs. Si~ture: E. . Miscellaneous (Service/feeder not included) -Each installation ruinp or. irrigation' . $ AO.CO . SlgnfOu tlJheLighting. ~~..vv---.---;.." Liini tcd Energy'f-Res$20. 00 . L'fmiteaEnergy/Comm $ .'36;60 . ': ":. ..'..' '", ".",' ., '" DATE:. 'f-lk:"CU... RECEIPT. It:. .2-I/~.<)'.. RECEIVED BY: U-_ .,-' 5.. S.UBTOTAL Ot'ABOVE 5X'State.Sutcharge . ..'. ,:OT(iL, . ,: .' \j-~ + ?:PIo . Mffi'\(\ ~~ OJ \~~. ~