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HomeMy WebLinkAboutPermit Electrical 1998-3-24 .. ." . . '. SP.~I~LO")' . r~'~"'7~~ .. 00" ~. (~~4;.i~~<~;'~\ A ..,." '~~~':~;Y~~I~~11~~."~::;(.:~'~:..,;~"l-~",.:~':J .~ ,,' . '_ __ 't. _ _ .:.".....,..,.~:'..;,.~,,,: _ ,.-:0, ,:.\~.:i':'"'..,_,l,...:'-f:'_.-:,~; ~1..t.:,1"I,;;.:.J1,~'~..'~~:1..:'~.~~ approval~onlnp I ,fir \~a1-\ce:. Ey,.?IRfi~\i:' O~.~ .. .... '" ....'. Date~ \-lIS ?ERWlli S\-If>.LL f\ i\-llS ?ERWlli IS l'lO . AuthortZed Slgnalure-P- Y\A~. ~'J,,~\lEO \.l\'lOE >l>\f)()\'lEO roR 225 FIFTH STREET ' '~J.' cEO OR IS MiLf.U!UCAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 COWlWlEl'l OD q 1 S 1L{ INSPECTION REQUEST: 726-3769 .0.1'1 ~\lO 01'.'< ?EP,I 'Ci ty Job Number / ~ OFFICE: 726-3759 ~.. '. 3. COMPLETE FEE SCHEDULE BELOI/ ~ h LOCATION P'J INSTALLATION r '\"\' A:)?fl i'f'V" .'.f-atfl3r::;(Il~\ UY . A. New Residential-Single or . ~ . . 1/763 2-3<f?, U1-C02- Multi-Family per dwelling unit;) / ""' LEGAL DES~RIPTION I " / . SerVlce Included: . V()v.J l.!fY .1Z:l{il~' tU r!2.jl. It> Items Cos Sum ~ 1000 sq.ft. or less rvt.2 &u((C.f? Each addi tional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Ser~ica or Feeder JOB DESCRIPTION '::::::J.rJ52e(') 5.J'S 7h1V) \ Permits are non-transferable and exrire if work is not started within 180 days of issuance or if work is suspended for 180 days. $ 85.00 $ 15.00 . $ 40. 00 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders . ~,~~Installation, Alterations Electrical Contractor!rt'i> S~:'Slo.c.c or Relocation: Address ({)7c; JfJ{j(~/PR tdf<-/ CitY~Ll~p:nCPhone :YJr-;-3x:::o Supervisor License Number lD7,)- &R:1 Expiration Date R-;;17,.. tj'{{ 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 ConstI: ContI:. Number nD 7)'051 C. TempoI:aI:Y Services OI: Feeders Installation, AlteI:ation OI: Relocation SignatuI:e of S~ervising Electrician ~. )J~,"" L.~ r:2 /" , D. BI:anch CiI:cui ts Owners Name -z:;j U (0uJiZ b(~ f2 r G f- New AlteI:ation OI: Extension PeI: Panel Address_ n?:f) fj'f'cv~ltoliJ '?l~ ' nil' ; ':6.t /'~ One CiI:cui t City CJ,:::\CIV Phone~au.> '-1LLJ1 Each Additional - \ . Ci I:cui t or wi th SeI:vi ce OI/NER INSTALLATION or FeedeI: PeI:mit Expiration Date A- .--7J -C{q The installation is being made on property I own whi~h is not intended for sale, lease or I:en t. Owners Signature: D~~~~==-~-;r:2~-~~-~---~-----~------ RECEIn 11:' , D2"'Y/Q/. RECEI',TED BY: '1" ~--- _ 200 amps' 'OT less 201 amps to 400 amps OveI: 401 to 600 amps Over 600 amps or 1000 volt s $ 40.00 $ 55.00 $ 80.00 see liB" above $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump OI: iI:rigation Sign/Outline Lighting Limi;ed EneI:gy/Res .Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% AdministI:ative Fee TOTAL 40.00 40.00 20.00 36.00 ..l.J)2..0 S $ $ $ )0.00 }. rl, U ;,l I . 1/ 'fP