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HomeMy WebLinkAboutPermit Electrical 1998-11-16Jhc, lollowing p,olect 8al&fi*t* lteltho z', ' ' r,:,. and do€o not ,€$Jhr sp€cilc hrx, i. "tal, Zoniqg-_CU 225 FIFTE STREET . I ,, SPRTNGFTELD, OREGON 97477 \f -lu T2frnffi69dsignaturv' SP JFIELD rla CQHPI,ETE FEE SCEEDT'LE BELOV / rl Nev Residential-Single or INSPECf,ION REQUEST: 26- D0 7CEOFFI 1. 3 7 F f> 3 0 r! ^Kv'.''f*G /1 6? es-ro Mul t i-Fami Service fn Iy per dvelling uni t. cluded:- IJGAL DESCRIPTION Za--< lel-5{2 j JOB DESCRTPTION e Permits are non-transferable and expireif vork is not started vithin 1B0 days of issuance or if uork is suspended for 180 days. Y the center. I tems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or -Modular Dvelling Sertice or Feeder One Circui t Each Additional Circuit or vith Serviceor Feeder Permi t B. Services or FeedersInstaIIation, Alterationsor Relocation: , 200 amps or less zOL amps to 400 amps 401 amps to 600 amps -rvo fl 6E,"16Bo, l, ll?1" iT: "_ #dffim' Over 401 to 600 amps -Over 600 amps or 1000lolfls D. Branch Circuits CoS t s 8s.00 s 1s.00 $ 40.00 rs ReIoca t ion Sum .00 .00 .00rrgrr u[frf- s s0.00 $ 60.00 s100. 00 s130.00 s300.00 s 40.00 ;flit? - Center is 1bupervr.sor .-----T----- Address )O o €Pr^ t .,0 0At il Ci Phone 7'/t- z /dZ OVNER TNSTALLATTON The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: cense Numb Expiration Date Constr Contr. Numbe Expiration Date Signature of S rvising Electrician 0wners Name' Klt '/ ,//, t -fion sc.-.A S40$ss SBo see $ 2.00 ruto Nev, Alteration or Extension Per Pane1 $ 3s.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Out1ine Lighting- Limited Energy/Res Limi ted Energy/Comm,Z-,2/., $ 40.00 $ 40.00 $ 20.00 s 36.00 4o. ogSUBTOTAL OF ABOVE 5Z State Surcharge 32 Admini.strative Fee TOTAL J CITY OF ONEGON PJ;CET REcETvED BT:r- 4 u^/ '-- 5 set forth \ BLECTRICAL PERHIT APPLICATION\(/) - city Job Numbe. 78 /r/ zq i follow rules NotifiElBon OFdUar' tn -0010 obtain of the rules I I i The follcwing proiecf a ra*itrli b in tefg 2oq j: ';1 9111, cr:res not requlle apeclfb hnd ulc efr, SPF|. FIELEI ELECTRICAL PERHIT APPLICATION ity Job Number ?fr /q zr CqHPLETE FEE SCBIDLILE BEL0V rtl Nev Residential-Single or Multi-Family per dvelling unit. Service Incfuded: I tems Cos t a!.or'>val. Zoni oo J-lsf 3 J c.. /l 225 FIFTE STREET SPRINGFIELD, OREGON \tan--lw INSPEC:TION REQI.IEST: .- OFPICE: 7 59 ST St 1 QDn ^KYt,' -/-//1 LEGALxi Z)4? G /a 6 7 ds-ro f Permif v ofi 180 2. EIec Add r Ci ty Supe Expi Cons JOB DESCRIPTION its are non-transferable and expire ork is not started vithin LBO ssuance or if work is suspende days. CONTRACTOR INSTALLATTON ONLY trical Contractor ess law rvi.sor L ration the thetr Contr. Num L000 sq.ft. or less Each additional 500 sq. ft or portion thereo f 1 er 04R connect 0nly by Temporary Services or Feeders Installation, Alteration or Relocation tions s 8s.00 s 1s.00 $ 40.00 s s0.00 s 60.00 s100.00 s130. 00 s300.00 s 40.00 Sum 0- " aEiE- Expi::ation Da Signature of 200 amps''or less -1- S 201 amps to 400 amps S Over 401 to 600 amps - S 0ver 600 amps or 1000-ii6fTs se 40.0 55.0 80. 0 e ttB rvising Electrician 0vners Name Ktw, pA r - 0r- tc.,*k Address lO o €,un^ rJ 0A t it Ci ty Phone 7 ql- L/tL OVNER INSTALLATION The installation is being made on proper ty I ovn r,rh i ch i s no t in tended for sale, Iease or rent. Owners Signature: DATE:r PT te 20L amps to 400 amps 401 t- D. Branch Circuits SUBTOTAL OF ABOVE 5Z State Surcharge 32 Admini.s trative Fee TOTAL amps to 600 amps _amps to 1000 amps 1000 amps/voIts 0 0 4oJo Neu, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Eaeh installation Pump or irrigation Sign/0utline Lighting- Limited Energy/Res Limited Energy/Comm cf rt. oo s s s s 40.00 40. 00 20.00 36.00 L.O J RECEIVED BY. 1(/G 5 -2d na l, or /SNOI amps -?/ ,Vt--L-u