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HomeMy WebLinkAboutPermit Electrical 1997-1-27 . . The following project as Gubmlttco n:,~ til::- ."':.,' zoning, and'do(:S" not requIre cpzc:iic !.....l:i 11.....:. approval. fl CJ Zonina l..:.. , D.te/-T7-iCL , 974 77AUlhorlied Slgnulure tJ 'IV\. , 726-3769 / 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OfFICE: 72?~3759 1. LO~TION Qf INST~~TION 4'L2~ Mill V\ 7}-' 7LEGAL DESCRIPTIO~,\ I Q:J2()-:2,:J()/ q VU ~o DSC, QN ' .', ft,1J ..J Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. E'lectri'cal 'co~t':act'or Q./\'n~Oall~~ , , ' ,-VJ-U.iV~ 1 IiddressCf?lf!tda(i Dr ,', Ci ty@elt /lJiVv+;ffRP~J~itl/-77n-Ic,q7 Supervisor License Number 25ctlL{~ Expiration Date /()-()J -q9( Cons tr Con tr. Number' ?)'/O?' / Expiration Date 3- (q-q 7 s~erv~ctrician :ners Name 1fr17uxC0i1Y Address Lfa 7 k!txtflJl Or Ci t~ f/nnf- Phone 770~/tfq? ~LATION The installation is being made on property I oyn yhich is not intended for sale, lease or rent. Olffiers Signature: ' ~ATE~---f~-;2-~~-~-~------------------- RECEIFT #: ?I,ILI 17 RECEIVED BY: flu_ ELECTRICAL PERMIT APPLICAII~ , CitY,Job Number, Cf:!()/,tsQ 0"'"'" ""'0"""", "LO:'i" ~ 3. A. Ney Residential-Single or Multi-Family per dyelllng Service 'Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf~d Home, or Modular 'Dyelling Service or Feeder Serv'ices or 'Fe'eders Installation, Alterations or R~location: . 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. 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 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above .' Ney, Alteration or Extension Per Panel One,Circuit Each Additional Circuit or yith Serv~cp\ or Feeder Permit ~ $ I ~. 2() $' 35.00 2.00 not included) Miscellaneous IService/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 $ 40.00 $ 40.00 $ 20.00 $ 36.00 55.(Jn ?,7~ - #*