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HomeMy WebLinkAboutPermit Electrical 1999-7-19 d d .A,r;;;c . bmitted has the following \}1jJ S f ~~i~06.I~Tdo~~e~~~~:~Uire specific land usa approval ~ (') VZ-- 225 FIFTH STREET Zoning. 7 SPRINGFIELD. OREGON 97477 '7 - I "i - q INSPECTION REQUESTpat"Zb-3169 ~ OFFICE: 726-3759 Authorized Signature. . 1. LOCATION QF. INSTAL~JION 4-'RS r MQfn <::J"'"'C LEGAL DES~PTION /7 f-,.1.,.32UO ()(J1{){) .v . JOB DES~I.9~ -W~p '::::P(V,(P Signature of Supervising Electrician ' " " (1~t -P~~ Ollners Name Sun IME's-t M o.tYla~E- 'Address ;) 737 /1..d. d t/t2..o~ Ci ty SC\ \-E'tr. Phone OWER INSTALLATION The installation is being made on property I olin which is not intended for' sale, lease or ren t . Ollners Signature: -----------f--t------------------------ DATE: 7f 11 17 RECEIPT II:' . // 0/>>'+'-10'-7 . RECEIVED BY: -d t./..i( . - ELECTRICAL PERMIT APPLICATION Ci ty Job Number 'if! C; 2 J 3, COMPLETE FEE SCHEDULE BELOV ~()~~~esidential-Single or ~~~-Family per dwelling unit. THISS'filMIIT'8HA1i.~i1lE IF~ AUTHORIZED UNDER THIS PERMIT~ CC s t COM~~~a3tS~EDCJ"\1"> $ 8=.00 ANY~W1eRf619,nal. 500 =--- sq, ft or portlon Permits are non-transferable and expire thereof if lIork is not started within 180 days Each Manuf'd Home. or of issuance or if lIork is suspended for Modular'Dllelling 180 days. Service or Feeder ATIENTI()I\I:U'bYU' I law requires you 10 2. CONTRACTOR INSTALLA. TION ONLY followruleslAtlopmu/i~flll,S()WQ&~!!1i\.yS . . . ,~vrtiflMti ~nlet.'tflMlt3l&s%'esMftN5i'tlOnS Electrlcal Contractorfu. Irle(~'b~IW~~~1-odl'ott\m\foAmis2-001- Address IqS Mad'~ah 0090:~ OUmaYOb2li{1?R/i!~.~~J hllrul~SbY "ci'lnolJlhecent12'OiN9:I"!r I I ,nlmps Ci ty (l~ene Phone 4-~~67!orthe.01Moq~. ~tY 0 '1)dlt'2~ps - ;j . ..,...venterls6011('am s.2 04liooo amps Supervisor License Number 2 Cf '70 - ~ Over 1000 amps/volts ~ Reconnect Only Expiration Date fO-1 - rl Constr Contr, Number '70-/2 c.. Expiration Date )(\.-I-qq , ~ ,. Sum $ l~.,OO . $ 4(),OO S 50.00 $ 60.00 $100.00 $130.00 $30(1,00 $ 40.00 C, Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40,00 Alloo $ 55,00 $ 80,00 see' "B" above " Nell, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited' Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permi t E, S. SUBTOTAL OF ABOVE 18t. State Surcharge 3Y. Administrative Fee TOTAL $ 35.00 $ :~,OO not included) $ 40.00 $ 40.00 $20.00 $ 36.00 if (). f.t) . 1, ft) 1,20 tI'/.o~