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HomeMy WebLinkAboutPermit Electrical 1998-12-18 . . . l:vni;,g:-;;;,;;~J:: as submltlod has the follow 'pnroval. 'equlre 8peclllc lond USQ Zoning. fv Octo I1/N~:;l) 225 FIFTH STREET Author1zec!~~. r'l SPRINGFIELD, OREGON 97477 '" ~~re;::=-"-I_M INSPECTION REQUEST: 726-376~ U7-IiO... IfIi1/'i,s. ".".~-Job Number OFFICE: 726-3759 (,'(4/1, rf{>.s 'It-4/ I "1'1- :11C:-iltC,::; D UNa 3'.C:-~QMPLETE FEE SCHEDULE BELOII 1. I-OCATION OF INSTALLATION '$.'1') D Oft 'l:ft l'1t, Ilfc:-/~ Ll-W V'l\f\lf'(\ I ...)t;, 1)-',,_ /8~. 7Jl~~ R~~sntial-Single or l.--'l}o ~Nd;!u'[~a per dlolelling uni t. 1 LEGAL DESCRI,PTION '~S>~i'~esTvlf ded: l 0 ~ 352::> I 0 I~ ,c-Oft" Items JOB DESCRIPTION . .b1-hrl\N.) cmo l (I~ll' ~ Cllt.m~. Permits are non-transferable and expire if IoIork is not started IoIithin 180 days of issuance or if IoIork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY . ; Electrical Contractor~~~o~1rrtl~\~1~. Address P, f'J, 'i : Cit Phone1Jl-~13b Number IIoZl,S I()-I-qg Constr Contr, Number :lRtJ.,q q-I-qg Supervisor Expiration Date Expiration Date Signature of Supervising Electrician C2~.L /.?'-~ ~ D. Ololners Name (1 ~ \\ h.. ,I rLutsVv:1"'\ Address~ mf\I'~..1 .Jt:. City Phone..1!1!J.:..J.j4fob ELECTRICAL PERMIT APPLICATION 1000 sQ.ft. or less Each additional 500 SQ. ft or portion thereof Each Manuf'd Home. or Modular 'DIoIelling Service or Feeder B. Services or Feeders. Installation, Alterations or Relocation: Of 7 11.0 J.. <:t ~ Cost Sum 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 $ 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above .' Nelol, Alteration or Extension Per Panel One Circuit Each Additional Circuit or IoIith Service or Feeder Permit $ 35.00 35',00 $ 2.00 E. Miscellaneous (Service/feeder 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 Ololn IoIhich is not intended for sale, lease or rent. O\olTIers Signature: --------------------:r----------------- DATE: {-J?} - q'b RECEIPT 11: ...1610,3-'1 . RECEIVED BY: 9<W' 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL :l~,o_o 1,'15 1.05" ~.Ro