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HomeMy WebLinkAboutPermit Electrical 1998-7-7 . S_CFIEL~ The fOllowing proJect ZonIng. and cJooo as submitted hila tho fnll.....<.._ epprQ\leJ. not requ//Il Gpec/ffo IMd u;;'"" 'll zonlnJtLv 225 FIFTH STREET ~ ...q r/ ,ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Date -7 ^ INSPECTION REQUEST: 726-376~uthorfzed ~nature l'I V\. Ci ty Job Numb,:r. ~O '!>72 OFFICE: 726-3759 ~V\ 3. COMPLETE FEE SCm:oULE BELOll 1. LOCATION OF INSTALLAT!QN 7?',? ~A~-'- 7?~ LEGAL DESCRIPTION 1?6-=3,'2.'2~. ~o , . New Residential-Single or Multi-Family per dwelling unit. Service Included: . A. Items Cos t Sum $ 85.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular, 'Dwelling' Service or Feeder JOB DESCRIPTION /L ~ ~. ~~-~ -H-: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. $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocatian: 2. CONTRACTOR INSTALLATION ONLY .B. Electrical Con tractar-A,.LLU:X- t::.le<:,.'\ytc Address 1~C1cc> ~l ~;V~ City ~.Qf'S).J Ph~ne &88-&/::21 Supervisor License Number ~~ Expiration Date /O/()f/qe. Constr Contr. Number.;:;o-J19(f, /O/Ol/qp.. $ 50.00 /~ $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less ~ 201 amps to 400 amps 401 amps to 600 amps 601 amps to. 1000 amps Over 1000 amps/volts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation C. $ 40.00 $ 55.00 $ 80.00 volts see "Bn above 200 amps' 'oor less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or. 1000 Expiration Date Signaturecsupervising Electrician , J_ . /" NY17HMv fJI.i,u As Owners Name ~2s. z:J..,;r:,L/('" ~ ~.c ;. Address 5'~C;- M/~L .:7-7. / Ci ty ~~ L4l? Phone 7:2t::-":J2.~ ,. / ,- OllNER INSTALf:{rtd"~. Branch Circuits " New, Alteration or Extension Per Panel ,One Circui t $ 35.00 Each Additional Circuit or with Service or Feeder Permit ;so'3 $ 2'.00 ~ E. Miscellaneous (Serviceifeeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 The installation is being made on property I ovn which is not intended for sale, lease or rent. Ovners.Signature: -, ::</~ .4C> 6.~ /.2J.~6 23''5f. ".2..s:2' 5. SUBTOTAL OF ABOVE 57. State Surcharge. 37. Administrative Fee TOTAL DATE: ?-?_ ?Z RECEIPT #: "'3c:::>"::~~ RECEIVED BY: ~ _..,....... . ...