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HomeMy WebLinkAboutPermit Electrical 1997-6-13 '. ..'. '.;,J'..~7~4:, The. following proj::)ct as submitted I..." '"" ", zOOInQ,anddoes no' req . '.,..st~l<";k.',,,,,,,,, approval. ~ WIre "P&';i1IC I.;,tnd If.'J . Zoning 225 FIFTH STREET 0,', SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726_3769i1l0JilOd Si~n"'urD OFFICE: 726-3759 1. LOCATION OF INSTALLATION Ci4J5 MaiY} 'f=:,-r ~ DESCRIPTIQM \1 D~J'34~1'I7\ . ~\Ak-wM IFJII n?;.:lU) , JQl'P DE~JUPTION fA ~ .' 1t{.B hK. 7U14! / ~=nt-aP, r Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for' 180 days. 2. CONTRACTOR INSTALLATION ONLY , Electrical Contractor1kmtbr' 0pf'}y/r_ Address ,;nOI SE 1L{-f1t AvL' ' , Ci tJbrtlanf'IPhOne 2~q -q-S I ~ Supervisor License Number LfoJ.5 S Expiration Date to -3D -qg Constr Contr. Number 'fLfg:r3 Expiration Date 3-;( -q~ si::~7~~ r::."" 4. . - - Y;f(- Address __ ,\S ' - ,;~T Ci t~ ~ Phone OYN4R~ST~LATION The installation is being made on, ,property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: . D~TE~,--~~~---\ZJ-. \'A: ~,I', ",~;l\ RECEIPT 11." "I .', '\.\,i\\. \) ) RECElvEbBY:. . '. YJ\\..J.-(\!!5jL' .', ELECTRICAL PERMIT_APPLICATION City Job Number -a1nC{1.J Nev Residential-Single or ~~ :::::.::: :~::'::~:"i'.. ~ Service Included: 3. A. 1000 sq.ft. or less Each, additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular'Dvelling Service or Feeder ,B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to, 000 amps 601 amps to 1000 amps' Over 1000 amps/volts' Reconn.ec t Only' G_ I terns Gost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00' $130.00 $300.00 $ 40.00 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 100U D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see l'Blt above Nev, Alteration or Extension Per Panel .' One Circuit I $ 35.00 3S Each Additional Circuit or vith serv~ $ 2.00 !iK or Feeder Permit Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. ' SUBTOTAL OF ABOVE ,,5% State Surcharge, 3% Administrative Fee '., TOTAL ......, , " not included) $ $ $ $ , '<{)3 ' 0-0 , ",l{,-j-r:;:, '., . ,2,4Q,,' ." 'i5Q ,Tn4 40.00 40.00 '20.00 36.00