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HomeMy WebLinkAboutPermit Electrical 1998-4-29 ~'e followinQ project as submmed hM tho IOIIsP.ttFIELD 'j j..... . Zonina C /1 NOTICEr,~Lq -f..j~ THIS PEaM~t~IlIgml(~~ AUTHORIZED UNDER THIS PERM IT IS NOIELECTRICAL PERMIT APPLICATION ~~J~C9ED OR IS ABANDONED FOR Ci t Job Number fA...; I, (/ q V ANY 11;10 DAY PERIOD. y ---=u.u...:I..: * 3. COMPLETE FEE SCHEDULE BELOY 1. LOCATION OF INSTALLATION /! // / V 1 A-"1A"A- if: . p(Jr-:kA' '7) Y7)' A. New Residential-Single or tI Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: ) ~ (\ 2., ~ C; 4 I n7t1-<5D 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Sum Cost Items $ 85.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder JOB DESCRIPTION lll/Jr_ <f"<-..r7PA /' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY $ 15.00 ,$ 40.00 Services or Feeders Installation, Alterations or Relocation: ,B. Electrical Contractor I?~;?~ C("J7I~Mcu':T) Address I J-J- <=) u-. /It, /jv<. City C-&<j(1Ad Phone ,('r7-y?..d'Z U' '8')).. (t..r ~ Supervisor License Number ;J.o"yo'fcL e ce".n-. Expiration Date /0 -(. '19 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 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, Temporary Services or Feeders Installation, Alteration or Relocation Constr Contr. Number /6,.f',;Lo2 $ 40.00 $ 55.00 $ 80.00 see liB" above Jy..1 J~ 'If' 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Expiration Date Signature of c;:Y~erViS' g Electrician ~ -p ./? C ----~ I Owners Name E.ne... .A-":./ /ldAr-/.{cpl Branch Circuits D. " New, Alteration or Extension Per Panel Address ,:2.9(0 hh~ .rr Ci ty 75&<7 f?,A/( Phone C f'6' ['00.:;- ../' OVNER INSTALLATION One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 ~o 5. SUBTOTAL OF ABOVE -:<,/ p, \SD 5% State Surcharge . X1) 3% Administrative Fee - '1 j< TOTAL ~ 1'. I? \(' '\ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -------7r--------iT-------------------- DATE: ,--2-1-'1.1\ RECEIPT #: ~7t . RECEIVED BY: f iA.o I1AJ