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Home My WebLink AboutPermit Electrical 1996-10-31225 FITTE STREET SPRINGFTELD, OREGON 97477 INSPECTION REQUEST; 726-3769 oFFICE: 726-3759 OP ION LEGAL JOB DESCRT ONct, Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if uork is suspended for 180 days. 2. CONTRACTOR INSTALI.,ATION Electrical Contractor Address o T* Ci ty pnon&_tL_:ttB Supervisor License Number 3 c/- > 63 C(€ Expiration Date C Constr Contr. Number Expiration Date Signa ture of S ising Electri D Ovners Name ,i!-,*<iFtl;Lo EI,ECTRICAL PERHIT APPLICATION Ci ty Job Nuruber 3. COHPLETE FEE SCffiDTILE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded: I tems Cos t ID S A Sum Ci ty hone OVNER ALLATION The installation is being made on property f ovn vhich is not intended for sa1e, lease or rent. DATE: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home" or Modular Dvelling Sertice or Feeder s 8s.00 s 1s.00 $ 40.00 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 0n1Y Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less $ 40.00 over 4b1 to 600 amps - $ 80.00 0ver 600 amps or 1000-to-ITs see "B" above Nev, Alteration or Extension Per Pane1 One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit - S 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/Out1ine Lighting_ Limited Energy/Res Limited trnergy/comm =SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL B s s0.00 s 60.00 $100.00 s130.00 s300.00 $ 40.00 c Address q E 5 W" $ 40.00 s 40.00 $ 20.00 $ 36.00 /aatlll ,3 RECEIVED BY: ture: 1. (F urtnr ( 2X. 8K ctfY oF s OREG 225 FITTN STREET SPRTNGFIELD, oREGoN 97471' t-onins P-{ .Jt:I-fu- 726-31-69'. h.\ !r,IGFIELD EI,ECTRICAL PERHIT APPLICATIOII INSPECTION REQUBST: OFPICR: 726-3759 1. LoCATIoN oF I.NSTAT,T,ATIoN 701 South 28th Job llumbar COHPI,ETB FEE SCNEDUT-E BELOU liev Resldent lal -slngle or Hu1tt-FamlI Servlee Ine I tems 1000 sq.ft. or less Each addItlonal 500 sq. ft or portlon thereo f Each l{anuf 'd llome or -Hodular Dwelllng Servlee or Feeder Servlces or Feeders Installatlon, Alteratlons or Reloeatlon: SUBTOTAT, OF ABOVE 52 State Sureharge 32 Admlnlstratlve Fee TOTAL y per dvelllng unlt. luded: 5tl 3 A JOB DESCRIPTION Install Wiring for Tnrck Heaters Permlts are non-transferable and "*/l'r"I f vorl< ls not started wl thln 180 daysof lssuanee or 1f uork ls susperrded for 180 days 2. COT{TNACTOR INSTAI,IJ\TION ONI-Y Eleett ical Contractor o1""ot _Industrial_Electricr Inc. Address p-o- Box 76,413 Cl ty Euqe_nq_Photre 746-8460 Supervlsor Llcense Number 3334-S Exp lratlon Date 10-1-98 Cons t r Con t r. Nttmber 63473 Exp lration Date L-2G97 Slgrra ture Supervlslng Electrlelan Ovners me Rosboro Lumber Co. Address 25O9 l,Iain cltY springfield-.--Phone 746-B4LL OUNER INSTAT,I,ATION The lnstallatlon ls beltrg marle on property I ovn whlelr ls not lntendetl for sale, lease or rent. Osners Slgnature: Temporary Servlces or Feeders Installatlon, Alteratlon or Reloeatloh 200 amps or less 201 amps to /r00 amps -f- 1101 amps to 600 amps --_ 601 amps to 1000 amps- 0ver 1000 amps/volts -Reeonneet 0nly 200 amps or less $ 201 amps to 400 amps - $over 401 to 600 emps - $ over 600 amps or 1000-T6TIs se -Each lnstallatlon Pump or lrrlgatlon $Slgn/Outllne Llghtlng-- $ Llml ted Ener:gylRes - $ Llml ted Energy/Comm S Cos t $ 85.00 Sum R $ ls.oo $ 40.00 40.00 55.00 80.00 e rB,r a66?E- 102.OO 5.10 3.06 @$ s0.00 $ 60.00 $ 100. 00 $130.00 $300.00 $ rr0.00 C ID. Braneh Clreul ts Neu, Alteratlon or Extenslon Per Pahel One Clreult $ 35.00 Eaeh Addl tlonalCircult or wlth Servlceor Feeder Permlt 2L S 2.00 _42 lg^ Mlscellalreous (Servlee/feeder not lneluded;R 5 40.00 40.00 20.00 36.00 DATE: RECEI RECEI VIID B q 110.16 LEGAL DESCRIPTION rr.,"x stop "iKii) o(n ooo6ib3-