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Home My WebLink AboutPermit Electrical 1997-1-27 the fcllowing,project as"submrttad p:"'1lh.: ~o',; zoning, end does not requirt1 cpe'Cific l':j1:ll'::' approval. 1 /1 Zon;"" r l/ 225 FrITH STREET Date f~ 17..-tJ SPRINGFIELD, OREGON 97477 - - n rV\ INSPECTION REQUEST: 726-3 "7-69'orlzoo Signature OFFICE: 726-3759 1. LOCATION .OF J~STALLATION 422"5 MIIIY\ ~ ' LEGAL DESCRIPTION 170?.11~~ .JpB 9.~SCRIPTION ' ~7r~ Permits are(jon-~ansferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2, CONTRACTOR INSTALLATION ONLY Electrical contractor~n ~V'~e~ Address l.f:J..7 i?adtJk. Dr . Ci ty~jm-. o~ ~~e~'"77/){'fq? Supervlsor License Number ~L(~ Expiration Date LD- (-q~ Constr Contr. Number' 'T) lnfil , Expiration Da~e 3-r1-tt7 Signature of Supervising ElectQian ~~ Ovners Name Fdatn n~'-~ Address 4:2;7 DoM~O Qr Cit~~~ ~Phone77()-lqq2 O~ INSTALLATION ' The installation is being'made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: . ~ATE~---I=:f-7~I?~--------------------- RECEIPT #: 2<1'1t'5" RECEIVED BY: In ELECTRICAL PERMIT APPLICATION <-1 LY ....ob Number q701~L{ , COMPLETE FEE SCHEDULE BELOY ~ Nev Residential-Single or Multi-Family per dvelling unit. - 1 Service 'Included: , Items Cost Sum 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 Instqllation, Alterations or Relocation: 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 $ 85.00 S 15.00 $ 40.00 S 50.00 $ 60.00 $100.00 S130.00 S300.00 S 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' '01: less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D, Branch Circuits $ 40.00 $ 55.00 , $ 80.00 volts see "B" above " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit ( 35. (1)' dj),Oi) S' 35.00 l.CL S 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% Sta,te Surcharge 3% Administrative Fee TOTAL . .' S 40.00 S 40,00 S 20.00 $ 36,00 5:=5ffi ::2.75 I. (q &; ')q.t..6< '. i -....~ ~'vJ':1t; as"u ltt lon.n:J, E;nd coes no'~ req"'uir m. ad has tho folto" approvw. . 0 C;"'eciiic"/ll.nd Use Z/":..~: ~ r " c""0-L1-6-7/27 - Autho'lzOd ~, YLrq ELECTRICAL 97477 '- ;::>/l)naluro_ . ~ 726-3769 C1Ly-Job Number ":"",, 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 3. L LOCATION OF INSTALLATIONI )' '5 1It1A' C../- 'CA..AP~ 1tR.~ r-:t:CN,-'IJ. ,rl/.{/f1 ,/4,'. I, a'L 3231 O\CtoQ , LEGAL DESCRIPTION . /J ' 42:2.S' m/I1AJ >"r ?r'f{I,.)t fo-/tr-D JOB DESCRIPTIqN tR..EIR.oF'II LIC ffntJ6'.-, Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2, CONTRACTOR INSTALLATION ONLY Electrical ContractorI?I?/,4...J '])Af aE' Address 42 7 f( on ALE'"JJt:< , Ci ty ac..LF rr. () ~~lOne'f]{;!:Jo-I9'1 i. Supervisor License Number ;19/45 Expiration Date IO--'OI-"11f Constr Contr. Number ~(O'i?/ Expiration Date 03-/9 -'17' Signature o~supervisin~ectrician _~..A.-~ ~~ Ovners N'ame :z?R /,/fov 5b'fJ '7 Address Lj 2. 7 City,"t~A~[F I? 0 j) IH,I 'JYe... tJ Ii:.. " f'/Phone 77t?~/'1'7 7--, 01lNER INSTALLATION The,installation is being made on property I ovn vhich' is not intended for sale, lease or rent. Owners Signature: ~~TE~------1;1-~~~------------------ RECEIPT 11: ';L. 'f'fIC:;- RECEIVED BY: ~ PERMIT APPLICATION q 70/81.l COHPLETE FEE SCHEDULE BELOY Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof .. 'Each Manuf'd Home. or Hodular'Dvelling Service or Feeder ,B, Services or Feeders Installation, Alterations or Relocation: 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 C, Items Cos t 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"o1: less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D, Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B'~ above Nev, Alteration or Extension Per Panel ," One Circuit --.L $ 35.00 5>~ Each Additional Circuit or vith Service !t2- or Feeder Permit '-1JL $ 2.00 ;LO