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HomeMy WebLinkAboutPermit Electrical 1999-10-6 . SPR'_'ELD . . The toHOwing pro\e~ot reQlJtre speCI1C nO does ~~o~:~~~ ~(],-~o ~::- Zoolog- 0 -(0- ~TIC~ . Dale ~REP~1~l:l\rIH~~ PERMIT APPLICATION 974"'Y.'00'00 S:WTHORIZEDUNDERTHISPERMlTISNOT fi'1' /5 rC 726-3769 COMMENCEDOR1SABAND~Fe~b Number 7 .J I ANY180DAYPB810~HPLETE FEE SCHEDULE BELO\l ~ 1. MlCAr!QN OF INSTALLATION,. ~) 'O'7? Un J~ S, . A. New Residential-Single or Multi-Family per dwelling unit. LEGAL DES~PTION Service Included: /1/)"])Lf 52 0051/ Items Ccst Sum . . rBUU\I!db yo\.. .~ " JOB DESCRI~~ I 2 C i/J,~\, I 'JI~'..Jl"\lv'lOOO sq.,,~k'llii'r,t\less ::-:'la..~ <t (J, n~""" ~. """1]'d\l"~.adoP'eCE~~~e\\g'g'h~jg!1a.iJ!~:OO o 10',";''' ;,-'nC."nle!.Tnsq~ (lft,..,or\\p-Q.F,t(ion Permi ts are non-transferable ailll)'~'~ili'te.001.0010itner."~0\f~~e rules b,; if work is not started within IB0)rdaY!?'\nay Ob'a;Eacnll'i1a'r\~tedh!l.ome. or of issuance or if work is suspe!)'d'e'd. ~(Jth center. \HCidu~?~;Jiow~l!~!1g 180 days. ca\\logtt e tneOretS,ei,;;i'2e~oi:"Feeder number Of I....,.:e-': _;;('I,~,,"<"'Jr:._f) .{J.D.. 2. CONTRACTOR INSTALLATION ONLY CA""B: Services or Feeders Installation, Alterations or Relocation: 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Electrical Contractor 'P.c ,,'Irlers flerJ-vyC' Address lq S fvw..d .'SOh Ci ty E\~ev-\e Phone 4-~-D02.L 2970-:5 Expiration Date (0-/- 9Cf Constr Contr. Number. '7 n-/2 C. Expiration Date~ Supervisor License Number . Signature of Supervising Electrician .... C~-eA~' Owners Name Pr /l0l-n+~ . 'Address S9 q? Do I /'0'\ -:;; of 101 Phone City O\INER INSTALLATION The installation is being made on property I own which is not intended for' sale, lease or rent. Owners Signature: DA~E~-----------------------A;;r6Jf9~- RECEIPT #:_ rn ,7<1 '> (. I RECEIVED BY: ~ 4/ 200 amps or less 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 8~.OO $ l~,.OO .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see; liB" above " Nev, Alteration or.Extension Per Panel One Circuit ) $ 35.00 35. CD Each Additional Circuit or with serv~ 2.00 or Feeder Permit $ ~~. 00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 4b.00 Limited' Energy/Res $ 20.00 Limited Energy/Comm '$ 36.00 5. SUBTOTAL OF ABOVE 1Bt. State Surcharge 3% Administrative Fee TOTAL 37-.00 ., --7.') -' &lb,-/O