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HomeMy WebLinkAboutPermit Electrical 1999-6-7 sptGFIELD Oh. 01/ ~.,~ 'O~. :91"11p. i/. '''U 1<"1 "0'0;"'1"0' () . 06 16"1 q1e ;r /}O 4'1S8 ~ " r. "6 "If, qf..~f;" '(f}",. ..,,/: <r& 225 FIFTH STREET ~Q'.sl 9"1J9()"t,i/" ELECTRICAL PERMIT qLICATION SPRINGFIELD, OREGON 97477 ~'l "%:1,910 INSPECTION REQUEST:' 726-3769 "1"1"9 i/IJO'~ Job Number q 0 ~La I OFFICE: 726-3759 "6 1000 sq.ft. or less N()~~itional 500 THIp;j'~fsH~IT &~~7RE IFTHE WOSlk15. 00 AlJ!:TJdeRll?Eiil f)NDIII<l'llI2H&PERMIT IS NOT CO~~~~~{~~~DONED FOR $ 40.00 ANy ll.lD UAYPERIOD. . B. Services or Feeders Installation, Alterations Electrical ContractorMdr"t;", "'Bros. S"',yI5~e.or Relocation: Address01.04 <:T"....+ter~ 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 Ci typ lI'je....e 0 ~ Phone &-fd.~.l~ 401 amps to. 600 amps $100.00 I .,..1 V S/~ 601 amps to 1000 amps $130.00 Supervisor License Numbe~~' - .:~ 1" Over 1000 amps/volts $300.00 Ie) I / '1'1 ~ Re'H)..rn~Ci:'.)0nl~gon law requires y$ui.O.OO Expiration DateY' / r ,h--_A- fo!'OWrule~adoPt~dbytheOregonUtility C. ,'I!em\iortauY"Ser,V.l'~%s19EJlg5'~~sel forth jIin'MBiJ..~<!:t9\9fl.iJ04i!i Wj!,\'jll~~</9AA'9~9f-a t i on 0090. You may obtain eopies of the r~e~ by 209al!!fIIB~ie>celff~f.~Note: thg !gleph n~O' 00 2p.~rr~l?'ior~P,eiqYM9'Q1l'mtn:t. ~ ~z:ifie' ti~~' 00 Over Orntor1'Q Oo'l.mp.s:::>~ ov.OO Over 60lf a'ffi'p~ o'l.Ut60U'VOHS see "B" above 1. LOCATION OF INSTALLATION ,I)' 7{" Mair'l ....1':.; '~;"'3.f.'~(dJ II i., \~~~'rPl)~ \ JOB DESCRIPTION Te.r;~aKi Pala^...LJ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY i , Cons tr Con t r. Number fD4 ,( ~ Expiration Date 3/J.;:l./ :JODO ~e.~J~an Owners Namej:i-fl\.e. t&~ Address~LP MiLf\ ~et- City~. fI!tPhone.D-q.<><loLq OYNER INSTA LATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~:~-:~Tit17~.--~;~-~~:------ RECEIVED BY: l' - /2i -(A_ New esidential-Single or ti-Family per dwelling Service Included: D. Branch Circuits ""i<. ~ Cos t Sum Items $ 85.00 .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) 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 $ l ~ $ 36.00 ~~ NJ .uv ~) 40.00 40.00 20.00 . - ~