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HomeMy WebLinkAboutPermit Electrical 1997-10-9 he 0 oWing project as Gubmitted nas tho fOllowing zoning, and does not require specific land USa approval. 11v . .225..FIITU STREET ~*-ELECTRICAL PERIIIT APPLICATION SPRINGFIELD, OREGON 97477 ZOning ,tP ~ INSPECTION REQUEST: 726-1j"69ln-Cj~q7 "'~~ fo~q;ity Job Number..!l.1.J :;),77 OFFICE: '726-3759 ~~" ~ Authorized Signature . ir.ffl,t. PEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION. ~~ ~~ ^Q~~'V ~ CJR~A,/1If11 F., SPR/1JmB.Ai'~ (f.,~'A~'-New Residential-Single or , ~'t,.i::~ ~~<;J fot{9 Multi-Family per dwelling uni to LEGAL DESCRIPTION ~C q,~~ ,,~'\:) Q~" C'\:)' Service Included: /70 '3)'3"3?' () C,q.CT6..~ J"'~'" <,'\:) ,,~ Items ... ~'<:'- ~~ :J..q,'" JOB Df:SCRIPTION ~_C"I~~<Q ~ 'V~ ei r tu..t..r V' ...l. ~ ,s-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 B. Electrical contracto~~~(". Addressl'2IZ DcE..AN. St. CflLtD2 Ci t~ Phone344-/3Dl( Supervisor License Number 31~ I 5 Expiration Date }O I, }q.g , , , Constr Contr. Number 20 ,.LJ.O Be Expiration Date 10 \ \ \'1" ~ Signature of Supervising Electrician ~~ 'owners Name QIA~a.~~L\ Address..!lB1 c'r-eerllhJ,o CitY~PhOne 7W- qt/l/ OVNER INSTALLATION The installation is being made on property I own which is not intended for,sale, lease or rent. owners Signature: DATE: 10-(')'(- <77 RECEIPT it: J-?V '?:Jt RECEIVED IlY: 01<'0 . 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, 'Alteration or Extension Per Panel One Ci.rcu i t \ Each Additional Circuit or with Service or Feeder Permit $ 35.00 <:f:?b - $ 2.00' not included) Miscellaneous (Service/feeder -Each installation Pump or' irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge to,?' TOTAL $ $ $ $ 3s.- ),OS r /, AS. ..?'1 . [)O 40.00 40.00 20.00 36.00 /