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HomeMy WebLinkAboutPermit Electrical 1997-5-6 I- ~t)7&O ~ ~ ' fiE ,cl/If Zoning. Ollto_ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 Authonzed Signeturn INSPECTION REQUEST: 726-3769 - OFFICE: 726-3759 1. LOCAT...+,ON OF INSTALLAT~,!\",' 'f~ '" ~U (~'k-(!;tv.lAr'l "dnt-fN'hHOt-V, A. ./:70~ ~15W1~ ()f) ( , . JOB DESCRIPTION , If.lf;;r~ J 1 EY J;17t{5 r. 6') 0Yc. iJrYrf/RDO"l. 1?E-IlLICN" I-f(i-lrT c;.,!?C</i-r' Permits are non-transferable 'and expire if work is not started within 180 days of issuance or if work is suspended for' 180 days, 2. CONTRACTOR INSTALLATION ONLY . () 12 De,ef- Of- 1'ra;,:.,Sf? Electrical Contractor rt'v f;J /70 J Address ?f~ ft/~~,QT (JJJ, >.c. . Ci ty <? /9) c+I Phone l:'I1ft - J '70 r; L,-- Supervisor License Number ';1.. L/ / t'6 Expiration Date 10-( ~q~ Constr Contr. Number ir If ;L f; A 1-;}7~tt,~ Expiration Date Sirya t~re' of -4;. . , // ,,' j,tJ D. Owners Name . ~ ,~p,}; J?l9N7';:: . v ,. Address ;Jb,;2tJ (;!~ev r) ~/ Ci ty 5-11((:V CF rEJD Phone 7:lr:-P-S-.>:'L. OYNER INSTALLATION The installation is being made on, ,property I own which is not intended for sale, lease or rent. Owners Signature: , O~TE~---~~~~-1---~------ RECEIPT It:.-, f'J'lA?7(ol)/ RECEIvED BY: ~'),.~ " h.. ~';" .GFIE~D .:. ..:.".. , ELECTRICAL PERMIT~PLICATION <-1 Ly .;v~ Number vr 705/ C,/ 3. COMPLETE FEE SCHEDULE BELOY New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq,ft. or less $ 85,00 Each ~dditional 500 sq, ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular 'Dwelling 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' Ove~ 1000 amps/volts' Reconn,ec t Only' C. , '$ 50.00 $ 60.00 $100,00' $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation '200 amps' 'OT less 201 ,amps to 400 amps' Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see llB'1 above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder . -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional 'Circuit or with Service or Feeder Permit E. 5~ . SUBTOTAL OF ABOVE ,5% S ta te Su'rcharge, '. . 3% Administrative Fee . TOTAL ,.... . '. ..- $ 35.00 ~&;- $ 2. 00 .2.. not included) $ 40.00 $ 40.00 $' 20'.00 $ 36..00 ?17 .aiOl I!,~ l/"J?- , .-1.11 ~~qr, . :','