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HomeMy WebLinkAboutPermit Electrical 1998-6-25 . SPR.FIELD ......._, "" "I .....;..: Joea not reqUIre .,. ;; if. land ueO I ' '"AO"... ~ I Zoning 'J _ o",lOrK p' I 225 FIFTH STREET A~8IgnaIu1e'/<//'{t7I(~hh~ SPRINGFIELD, OREGON 97477 C I " INSPECTION REQUEST: 726-3769 a <; VI I r: r OFFICE: 726-3759 2.' CONTRACTOR INSTALLATION ONLl ,B. Services or Feeders ~ Installation, Alterations Elec trical Con trac tor '~g r It'/-fr,c::Ii1 Cor Relocation: AddressJ::Lo1. e::; IA/, U-+h. ~()(: 200 amps or less (' , 201 amps to 400 amps Ci ty /" u;- . Phone L St' 7 c:; 7"70 401 amps to. 600 amps , 601 amps to 1000 amps Supervisor License Number ~ ~"7 :1 c:; Over 1000 amps/volts ~ /" Reconnect Only Expiration Date I~Dl/q~ , 3. 1. .JfCATION OJ' INSTALLATION --:J;:r(;t:; 6.~....w~ ' A. jJ::/~~~ON ~P;!J~/"~ , ~OB DESCRIPTIOM--- (,Y','!/'I/I"" 1-- t'j--l--I.,n--r-t::: ./ ' Permits are non-transferable and expire if york is not started vi thin 1 s of issuan~e or ended for 180 days. ;#:--15 ~C; " Constr Coritr. Number I fJ'iq;). q Expiration Date ~~ n ' SignatuJj s~e:v~ng Electrician A.-1;;1~ Owners me =r; '" ~ lrt;L4-{ '-~ Address _ Sr. ___ L 1 Ci ty, Phone OVNER INSTALLATION The installation is being made on property I ovn which is not intended for sale, lease or rent. Ovners Signature: D~TE~------r--ri<;~9;f- -----,---------- RECEIPT it: IJ-.. ~rh 10 RECEIVED BY: 'I.. . Y1.fA...-" ELECTRICAL PERMIT JlPclfo~ Ci ty Job Number ~ COMPLETE FEE SCHEDULE BE~O~~ ,Qy. \t- ,~ 0' Ne~\~'identieCt.$.\i'nglerlif.\\ \S~ \4Ql\':l-F~!l'~'!.Y.'ller ~~'q.;i- ~\:)W. S?,~~~ Inc~~~ r\O~'f:.V , uO~\7J;.'O a \S ~'O~~'1 terns Cos t ~Ij' <' ,,1f,~'O 0<' 10p~~~\rt. ~~Q~s $ 85.00 Ea'c'l1' s-~e\! 'i:)~nal 500 sq~~It or portion thereof , $ 15.00 Each Manuf'd Home, or Modular 'D\!elling Ser~ice or Feeder ,$ 40.00 Sum $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits " New, Alteration or Extension Per Panel One Circuit ( Each Additional t Circuit or vith Servic~ or Feeder Permi t "..,)- :55- $ 35.00 $ 2.00 1-/- E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~ 31, ~. ~'u.- ld- I I _ :.::.-- '1d"