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HomeMy WebLinkAboutPermit Electrical 1997-11-3 Th13 10110'l..'lno proj!lct as ~ubm~tld hr~ thD foH'J':J;r:g . ZGiliri(j, ;'If\:"l dce.:; tiot r:::qt.i1:':,J G\:.::,c:;Jo :i'.nd l..::,] 225 uru> STREET applovol, J 0 AI O~*' SPRINGFIELD, OREGON 97477 Zoni"g~v ...~ ~& INSPECl'ION REQUEST: 7r.?'~'~P-P.03/qh ",\~""'^f,> City Job Number ~7/-.T~- OFFICE: 726-3759 ) _vlfr~ ~' O~ Authorlzod 8Igm!!".... ;{!'.~ -:,,<-'1l G~E FEE S..w:.uULE HELOl/' 1. LOCATION OF, ;mST.AI:~~.:D <c:; ~C;;, O~ "'15'==f !fA,! /);:r:: ;) .f.1J'~"15..d{- ;;.. New Residential-Single or I?-c::l'~~-~..L ~ 3;7~~ #' J::SS'~ ~ Mul t i-Family per dwelling uni t. , LEGAL DESCRIPTION ,~~ f<,~ f/) O~'< O'\). Service Included: jl JQfi;.. r.. H-eR B>().~~~ d;.'f),~.,~ Items Cost '\~. ~v *\)- :\ '(' JOB DES~PTION. ) i~:~~~ ,/);'\)~/ ' klre.r~ IAM?,IJJ; foV.'e."';!'f.9P.J.(I'4 , 'tf" / , 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. CONTRACl'OR INSTALLATION ONLY Electrical Contractor t\ la", ,~~ }""kkJ.<""""L - (j Address ?,D ~ ZIS6~ Ci ty t;", "I~"~ Phone Co '8 C;-ZSG.:>' Supervisor License Number <:2A7. 5 Expiration Date /6/1/911 . , Constr Contr. Number 7~ - /t/c: I" Expiration Date /1)/i /9/ " I S~~~~g Electrician Owne~s Name -:- E: J& B. Address ,e;-e:>~#c/7 t./~/f2Y6 .... 1- CitY~,~-Phone ?W~_ ~Y . ."~~- OIINER INSTALLATION ~, ~~- \ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ------- DATE: 11-63-97 RECEIPT 1I: d- 7 s<b -=. RECEIVED BY: "fd.v ELECTRICAL PERMIT APPLICATION 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder S 85.00 S 15.00 S 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 Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 I~ $100.00 $130.00 $300.00 S 40.00 C. 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 volts S 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits .' New, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or with Service or Feeder Permi t 7~ S 2. 00 ~ E. Miscellaneous (Service/feeder not include, -Each installation Pump or irrigation S 40.00 Sign/Outline Lighting S 40.00 Limi ted Energy/Res S 20.00 Limited Energy/Comm S 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL .' ~~- -/1:;; "3 '7"5 ~&c:>