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HomeMy WebLinkAboutPermit Electrical 1999-7-26 Authorized Signaturp 225 FIFTH STREET . NOTICE' ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477' . a., INSPECTION REQUEST: 726-37#lISPERMITSHALLEXPIREIFTHEifi9RYub Number ('107 16 OFFICE: 726-3759 AUTHORIZEDUNDEBTHI~~ITISNOT 3. O. TE...FEE SCHEDULE BELOll L LO~ION OF INSTALLATI060MMENCEDORISABAN II-Uti h6 /111,4./.,/' ~~IY1AnnAYPERIOE).. New Residential-Single or , Multi-Family per dwelling uni t. Service Included: Electrical Contractor.Q,,lc; V'IC::/JJ n . / Address /"'. O.8a~ 7o.;i'J'~ 200 amps or less d- $ 50.00 ~4? . 201 amps to 400 amps ~ $ 60.00 htf/4JV Phone id' .?-/<4'ii:~1\")1.,,}01 amps to. 600 amps $100.00 ' lollow rUles a' Wl~' amps' "t,o It 100g _ a~ps $130.00 Supervisor License Number Z / 9 4iQ.5fjr.~tion Ce~~Ovff?'1000Ja!l!R.~(~RJ,f/s $300.00 in OAR 952-00 Reconnec~eg!l;J.rsel/ort', $ 40.00 Expiration Date j 0 ~ dL=....n / OO~ 1-0010 Ihrough OAR 952 . cal/' u may 01:1t.elhPOI1.l!!'~os.e~vlcfsI)16r Feeders Constr Contr. Number LA..~" Al nl._~ng the CenrllnSl~ijkia.tior\~ ~it>t"e'r'a t ion or Re10ca t ion r - ..to:. forthe OreQon' U ,'.,': ""t" P"one ~ Co. I Iry NOIJfir':>li . Expiration Date .e=:., -/."r- d/ enteris20Qca,lpllcli:,<?I4)J:esson' $ 40.00 . 201 amps'to 400 amps $ 55.00 . Signature of Supervising Electrician Over 401 to 600 amps $ 80.00 r?~ t'U?~~ Over 600 amps or 1000 volts see "B" above ..r ----::r~ /J II I I D. Branch Circui ts " Owers Name 50 (o! ril'-h{(~ $CNlJ New, Alteration' or Extension Per Panel Address S;2.~ Mt II y/ <:; -f) t I "i Phone 7 l{ l{; t, 17\ Date (' .(L/ .., ~J-.(rC1 "'i , ~ LEGAL DESCRIPTION /7/)335"11 /0100 JOB,. DESCRIPTION f(alhl(Jde.~ l:Vr-l-., ,eJ.d9 / I Permits are non-transferable and expire if york is not started within 180.days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. .et.od City. Sof-d City OllNER INSTALLATION The installation is being made on . property I own which is not intended for' sale, lease or rent. Owners Signature: DATE~------------------~~-7-T2,;tfY---- RECEIPT #: " 7<1 H 7... . /~) .II RECEIVED BY: ~ Items Cost 1000 sq,ft. or less Each additional 500 sq. ft or portion thereof Each Manuftd' Home,or Modular. 'Dwelling Service or 'Feeder. S 85,00 $ 15.00 . $ 40.00 Services or Feeders Installation, Alterations or Relocation: One Circuit Each Additional Circuit or with Service or Feeder PermH $ 35.00 (rL $ 2.00 ;;::Zci>O 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 SUBTOTAL OF ABOVE ~d> 'CJ 1'1oSta te Surcharge I ?,t:. t'- 37. Administrative Fee . /.5~ ;;N! 7 :J- C> IO/~ F :/-77.?C? s. TOTAL