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HomeMy WebLinkAboutPermit Electrical 1998-4-8 ~\'\~ 'i'lO?-~ . . . Y\ 0' r;t'. ~"''?\?-~ \'f ~~ \'2> ~o~ ' ~O\ \V ?w-\~ '2>\,\p..\.\. ~\,\\'2> '?~?-~~CAL PERMIT APPLICATION, 97477 ~\'2> ,?c \j~'O~?- 'i.)O~~'O (). r/ 726-3761) K\'\O?-\t~'O ?- \'2> p..'Op..~ Ci ty Job Number 7 gt5 if () X A p..\.l C~'OO . *" COW-W-~~ '4 ?~'a\OC\'COMPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLATION N ~I.\" Of'- /t:I/} ft11A;/1 5 T p..~ . A. Nelol Residential-Single or .. Multi-Family per dlolelling unit. Service Included: <, . approval.. , ~0 ZOOInQ. DaI~~ r ,g] f>.uI~ Signature 22::> FrITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 LEGAL DESCRIPTfON., ? Residence I / 1J/)~& 3/0 7l/D I JOB DESCRIPTION Alarm Inst811~tJnn Permits are non-transferable and expire if 1oI0rk is not started within 180 days of issuance or if 1oI0rk is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Elec trical Con trac tor ADT SPienT1' tv Address 15oUea~' c~ S,u ~-\-C r" Ci ty Eueene, o(l.. Phone 342-1111 Supervisor License Number 949 .TLF. Expiration Date 11/o1/Qq Constr Contr. Number 59944 Expiration Date 4/27 /QR Signature of Supervising Electrician j/;(AA ~ 9S-s ;JLE D. Ololners Name FjJJ'[r:.H /...'I/JC /lura S13LE5 Address /J?/)' /?? '" ,'.111 .<; T CitY..2;:>r:(Ict,rlrl Phone ?Z{,-'7'72.0 ,- 01lNER INSTALLATION The installation is being made on property I Ololn IoIhich is not intended for sale, lease or rent. Ovners Signature: ,.'- ~ATE~----~1i5~q~-~-----------------~ RE~~~~..lI.:,.' L va flfJY ! . SP_IELO "., , Items 1000 sq.ft. or less Each additional 500 ---sq-: ft or .portion'. - thereof Each Manuf'd Home. or Modular'DloIelling 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 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"ol' less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above .' Nelol, Alteration or Extension Per Panel One Circuit Each Additional Circuit or loIith Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/Outline Lightin~ $ 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 J,_..~~-;;I..!.I ~ f-, . !:!5'- ,. {~ '<6.S; ~/..J!J2.- - ./.gp.~ ~. "2,~.