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Home My WebLink AboutPermit Electrical 1999-1-22 02/11/98 10:22 '5'503 726 3689 . SPFD DEV. SER. . . 1(!J00l The folloWlo9 project as s b I . ~~~~~~a~n~ does nO.1 re:ui~ ~~~~I~I~ ~~~~~:n9 225 Ut..> STREET Zdnlng P~(1 ELECTRICAL PERHIT APPLICATION SPRINGFIELD, OREGON 974Nll> 1_.] . - . . INSPECTION REQUEST: 726-3/b:t . J - <; )'1 . r,i"ty Job NUlllber 9 P'Pt::5 '7" OFFICE: 726-3759 Authorized Signature _ tlhl . - ~ -----r: -"ulU""'r~EE SCHEDULE BELOIl 1. LOCATION OP INSTALLATION . ' . ,OS"'/ "......,. H/N ~ . A. Hev Residential-Single or Multi-Pamily per dvelling unit. LEGAL DESCRImON .n/\, ,., N') . Se.rvice Included: ' 17(1.;2. :J.::3 ...., / ',I'LLLJ Items Cost Sum 1000 sq.ft. or less Each additional 500 . sq. ft or portion Permi ts are non-transferable ani:! expJ~ thereof if work is not started within la9~~ ~'V Each Kanuf'd Home. or of. issuance or if work is suspen~.:'~f-r,,:?o Modular'Dwelling 180 days. '1'0.90 ~"9 ~o ~ol' ~bService or Peeder p. . J.: .9S "C <i'Q! ""<9 . 2. w......ACTOR INSTALLATION O~i> 0", :'Oo,~ C?o~,i.ces or Feeders ,A"S'7'ho~a;.;.:0<9 ~ 'oo>:'~.in~ii1:lation, Alterations Electrical Contractor 6/cca-.i:~.!o,.. C'''' 06~ :0" ~R~O:%~ion: ;~-~"";<9 '''<9 <i'/., "0<9,.,..0" '1'-<9 ?Y7 ."/ ~ r. 0'" C ' ....../.: $ Q" Address 0", 's- kf ~ , /~ ""<9;' ~ 9~00>~JP~~J~ss ,2. , :'d 0" ;.'<9~Oi ~.,~~19~~~ amps' 1 City b/~.,..u. Phone .?'/5-7Z.?/A:>0~~_~~.~0",~plPs'tiQ<.'.~ amps P' 1 .-I. "V~ '{6gt<9~~<ia ~OO amps Supervisor License Number dJ..:;;;Z.CJ-5 "'o"9,(~~~'3i1>1)s/volts / :-, ??Ia.- <i; R~colW~ ~ly Expiration Date 0/ "','l't..... . '0" '~8f, :~~~ C. Temporary Services or Feeders Constr Contr, Number f'l;?~~~ Installation; Alteration or Relocation . C.o "U/:) "11'& . - Expiration Date ~c5~~~~~n ~~/f 200 amp~'OT less , 'r J~ . 'c.~. '''lltD '~..f'A 201 amps to 400 amps Signature of Supervising El,,~d:i\i~ ~Iy 1; ~(=' Over 401 to 600 amps () ,./'? 'iYI{,:,~"'I'~e frt8/:) //~~r 600 amps or 1000 ~-Al.--.?-:f~:....-.?~ '4^lr ~091', ~h/...,. , owne~~e f\ ~ \~1(\U\ti .JeQSO :r,~j~~:,~lrCUl ts l . ~ N€v, Alteration or Extension Per Panel :::te I '0L Phone I. In(rrJ ~~~h Ci~~~~ional $ 35.00 r \ , i Circuit or with Service 1INER\INVALLATION ; . or Feeder Permit 57? $ 2.00 /;O,t!f.? E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limi ted Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 SUBTOTAL OF ABOVE ~() . dJt? 5% State Surcharge I"l, , dO 3% Administrative Fee"" ? J;>-Cl TOTAL .;;r '2.Y /!) I ,Roo JOB DESCRIPTION . 1t9.-e M/z'P/'t/? The installation is being made ~n property I OWn which is not intended for sale. lease or rent. Owners Signature: ---------------- t!.~ ~. L~:V DATE: . RECEIl'i: .;: RECEIVED 'BY: $ 85.00 $ 15.00 $ 40.00 $.50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 /t?t7'.oo ,,(lJ.(pO $ 40.00 $ 55.00 $ 80.00 volts see nB" above .'