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HomeMy WebLinkAboutPermit Electrical 1997-1-23 - Tt':-3 "ollowing projoct as ::;uon-,i143d h:') 111'J followIng ..4l,jnir.~, Gnd dce~ not l'fquiro :';f)~v;;j~ :i;mc: ~...u Cf:pove:!l. ' 225 FIFTH STREET ioning~1L- SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: . 726f!J769 )-))'-11 OFFICE: 726-3759 . AlrthorizedSignature t\J Y1. 1. LOCATION OF INSTALLATION I, {S"J (hr;. Y\ S+ i lfrJ~5DF:f~11JfJ5oD JOB DESCRIPTION 2, iA;r-t../AAK. ... Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspende~ for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contracto~~ ~v Address~t "70 I?v~?- $r Ci ty f;;,;V;EJJe Phone Ll-gLl-11-12, Supervisor License Number 1-1 z..S'S Expiration Dater" -'i'i> Constr Cont~., Number 41:;, Expirati'on Date '1-/q 1 . ;t;X]'~'ki~ oY~er's ~ame(\tJl..~ c;~'", Addre~s_76j-f>2...f A\"~nl+ )..)..../1 L" Ci tye' ~ i\...'V (,~ Phone ~ L -<:7 z. 'if 9 OVNER INSTALLATION The installation is being made on property I oyn yhich is not intended for sale, lease or rent. Ovners Signature: --------------~----------------------- DATE: i-2;:-(7 RECEIPT 11: f.)1"4"IJD RECEIVED BY:~': ELECTRICAL PERMIT APPLICATION , A. City Job Number q/I:'I../ ~::y::;d:::i:~:::eB:~OV ' ~*' Multi-Family per dyelling 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'Dyelling Service or Feeder $ 40.00 B. 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 Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation' Ney, Alteration or Extension'Per Panel -cJV ($ 35.00 36- . rJt? $ , 2.00 If---' One Circuit Each Additional Circuit or vith Service,? or Feeder Permit ~. .E. Miscellaneous '(Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 40.00 40.00 20.00 36,,00 not included) 5. $ $ $ $ :J, r. /p /,[7 ,(7~,7. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL