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HomeMy WebLinkAboutPermit Signage 1998-4-20 , The foll~wtng prn/Act os oubmlttod has the followl ZOn' '... ;'1.' , "oJ\. require speclfk: land uso ap~1 OVb.. 11 Zooina ~ V Dat&)../l--Cfj( 97477 n 7 2 tt'1~~ed SIgnature tv'- 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 l.~O~ON OF IN~TALLATION ".2~".. O~>:1 gf, =rr~,.r)uP 011'_ LEGAL~~S~PTIOt!..'7A IVI I.ln~ ,""'rl ( l.JtU..J ~ JOB DESCRIPTION /1' ~ f bl d . ermlts are non-trans era e an explre if york is not started vi thin 180 days of issuance 0. if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY The installation is being made on ' property I ovn vhich is not intended for sale, lease Ol' ren t, O',/ncrs:;';;.igna turc: ~7,~~~~--------~----2f..~.~1l- --------- "1:CEIl'T U: \J .. '. - n !(ECUVEIJ BY:-W.'0:' ~_.. ,_ , o'ctbtt-I ELECTRICAL PERMIT APPLICATION ,.., ", lob Number (t:to 11bf 3, COMPLETE FEE SCITEDULE BELOV ~, Services or Feeders Installation, Alterations Electrical contracto1rJr;rf-ll7 B/t~ ~1.5 or Relocation: Address.2t? ~I ,fJ&!b/,C'oYl ~'(.~~O?~OO amps or less . if';; I ,.t:. 'C.'I.~ ~~ \S ~1.Jt01 amps to 400 amps Ci ty {{.( ft?./1..f..\(\"{\'v~r..o~~fI!'Jr '1~\ 'C.~\-lI A? 401 amI's to. 600 amps . \ - c.P'C.?w.\~~ I' - ~'C.Qr 601 amps to 1000 amps Supe.visor Licen~-e.\'N\Jm~(?e _ ,:s ~O Over 1000 amps/vol ts ,,/\,,\\\'(.0 00 \'" Reconnect Only Expiration Date flY", q~C€ .,...p.\OQ, \iJ.N:1 1)1>.'1 ' ~ Constr Contr. Numb~p~h /7 Expiration Date n~ Signaxure of Supervising Electrician ~'.~ r ~ +- D. Branch Circuits Ovners Name:]i,Jd ("6 <; J1iX.~&.5 I AddressMtJ5 Pnc.lrc IfrrjAJ Ci ty C"~,, RfLYf:Yhone'1'!/) ~/g':; OVNER INSTALLATION A. Nev Residential-Single 0. Multi-Family per dvelling Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. 'Dvelling' Service or Feeder uni t. Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Tempora.y Services or Feeders Installation, Alteration or Relocation $ 40.00 ~c() $ 55.00 $ 80.00 volts see "B" above C. 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps 0" 1000 " Nev, Alteration or Extension Per Panel Miscellaneous (Se.vice/feeder -Each installation Pump or ir.igation Sign/Outline Lighting Limited Ene.gy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith'Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 57. State SUI'chaq;e 37. Administ.ative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 41).00 r<J E~ ~6_~~__