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HomeMy WebLinkAboutPermit Electrical 1998-1-22 -, ,. . T'- 'r,l'owlng project a:i OUbmlttod hcs tho following z 11. and doG'.;i not faquiro opocitic land uw -&h,'HHI'al. Zoni"l1 C (. 225 FIFTH STREET Dale SPRINGFIELD, OREGON 97k7.t70r1zadSlgnature INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. d:~tTI~~~f~(fuuono(\ Q LEGAL DESCRIPTlAtj \ \ (j \t'\f)'3 \C?(() (Jl , '".i', '" ,.,."",-\rJ.~ if work is not started within 180 days of issuance or if work is suspended for 180 days. , i I Expiration Date The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: \ . . D~TE~----------------T:-~-~~C1-~---- RECEIPT II: I ... ri;-- A.. \ RECEIVED BY: ~IJ'CL; N..~\\ . A. ELECTRICAL PERMIT APPLICATION Ci ty Job Number C\ f\. \ ~ ()~ 3. COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular Dwelling Service or Feeder $ 40.00 $ 40.00 $ 55.00 $ 80.00 see tlB" . I , I 2. CONTRACTOR INSTALLATION ONLY .B. . Serv.i.ces or Feeders .J'l.. .J--I. ._L~' Installation, Alterations Electrical ContractornJ<<f I-::rCPJTfQh.. or Relocation: . /) V'~ Address 1C/7() N. J,-f)1b=-S1\ "'i'/:/>l%>,.c mo amps or less $ 50.00 'c-~' 1ft ;J:?-,,15f ~~l'amps to 400 amps $ 60.00 CitY,7f}V'/ Phone 7..,-~;.~V~ ~01 amps to. 600 amps $100.00 I \ .' F? (('1,: ~,'~) amps to 1000 amps $130.00 Supervisor L cense Number ,;;>L.I ~...... ..J'~..:) ~ 0G.9~y. 1000 amps/vol ts $300.00 I ~I Of). OQ ~c((~ect Only $ 40.00 Expiration Date 0 -jX -<>&., ~/o ~A ~ 1 '~ ~W~~ Services or Feeders Constr Contr. Number .;Lo 2):::::> I....-- V<:) t~a*on, Alteration or Relocation . el ~ ~ /0- l,.q ^ 200 ~~r(('~ss 201 amti~ ~ 4'6'g amps Si ature of Supervising Electrician Over 4017~0~,R~amps A /~ Over 600 amps or 1000 volts ZJ. J }../,/e- ~ 6'.l.:..( (I' '^" ClI...n:.0:ranch Circui ts wners Name \)\ S \}l"()..... \lrr\l..l.AUl(Jf\ "2..v(l \\n(\l\(\ C'..L ew, Alteration or Extension Per Panel . Address vI::) I.) v'.llU \l. M. City f" 1)? M--- Phone4 is. \ raJ) OVNER I~TALLATION above .' $ 35.00 One Circuit Each Additional Circuit or with Servic~~ or Feeder Permit I~~ $ Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 57. State Surcharge 37. Administrative Fee TOTAL 2.00,ao not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~O~ ' -I. !=:.{L . an ~A(L