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HomeMy WebLinkAboutPermit Electrical 1999-6-11 The following proJec as su zoning, and does not require specific Jand use approval. 11 ./ Zoning It/\ ( - [late L, --11- 9 c:::; i<"WlZfJ:f;!;l1at~'j;REET ~ ') I EI'I IV ELECTRICAL PERKIT APPLICATION SPRINGFiELD, OREGON 97477 ...., I l\j.v'~t" INSPECTION REQUEST: 726_3~!QJI?W~UlesadoPteOoy", _.c~CitylllJob Number 9'11)677 OFFICE: 726-3759 '6fiflcaliDn Center. Thos:; :ule~ a,e setlortt. in OAR 952-o01-001C3I;lrolCOMPBETEi:FER1.SCHEDULE BELOV 1. LOCATION OF IN;nLATI6R90:~U"Y2Y obtain copies of th.e r.Ules by 3'07 Ma:r'H V 'ltf ~~~center.~\lot€NIiWJtRe!J.i-!teJ:lJtial-Single or numoefTorrneOregon UI1!l1Y~IlM!:tie)\ per dwelling uni t. LEGAL DESCRIPTION Center is 1-800.3~!344J!! Included, /fD 2.,,(,/1/ 01'1(0) . Items Cost JOB DESCRIPTION ." G>../1 /JtI IP!k>.. r I Permits are non-transferable and expire if work is not started within 180.days of issuance or if work is suspended for 180 days. 1000 sQ.ft. or less Each additional 500 SQ. ft or portion thereof Each Hanuf'd Home. or Hodular.Dwelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders ~ Installation, Alterations Electrical Contractor..wTI~I=./ . or Relocation, Address THIS~ITSHALLEXPIREIF1WW{!l\I!Il! or less iW'I"HORIZEDUNDERTHisPER~9,lI<A~~ to 400 amps Ci ty ,-PePllIi\ .~. ,..,~" C'.n ., '/'i'O'1 "'a1l1'\:is to. 600 amps . /' VIVII\fftl'l..,~.. Vi d",~ANDONEQ1IDlamps to 1000 amps Supervisor Licen~ Numi\~lf180DAYPERIOD Over 1000 amps/volts ~ Reconnect Only Expiration Date Constr c~r, Number . Ex)>.~ion Date ~ignature of Supervising Electrician Owners Name_hI/hi I"AA6!'tzt.u,f;.... Address 90 rf f I!W1 f'? City 4/A4. Ph~ne ~lr...I.It3i) OVNER INSTtlJ.ii<>N The installation is being made on property I own which is not intended for sale, lease or rent, Owners Signature: ffiA AA 'u, \jj~ ^ - , I -i- DAT~{ ~jj,;rff-----------~?'J --------- RECEIPT 11:. /),jf-('-(Z L/ (J Y ; RECEIVED BY: ""f W I'v" 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 I U{).... 200 amps' 'OT less $ 40.00 T' 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above C. D. Branch Circuits New, Alteration or Extension Per Panel $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 SignJOutline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE - -~o Cb 57. State Surcharge z. ao 37. Administrative Fee I. z..c> TOTAL t.{ r, u. One Circuit Each Addi tional Circuit or with Service or Feeder Permit