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HomeMy WebLinkAboutPermit Electrical 1998-6-25 . . SPRINGFIELD The following project ~~~~"'" ~ ;;.v" zoning, and doee not '........w ........- 225 FIFTH STREET apprOl/a1. M A I SPRINGFIELD, OREGON 97477 ZonI'lIU.lL'" INSPECTION REQUEST: 726-3J.&21 Ail.( Ei1- ::~~;~~Mr} ~--": SOb,. .= SCOEDUU "to> \()\:~dH~PTd~Q. \~oO .l.~O' 0 a~ Permi non-traftsferable and expire if war is not started within 180 days of issuance or if work is suspended for 180 days." 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor AIlI'~ fl~d,,~;- Address 12 S W ~",.J s,-t- . Constr Contr. Number Expiration Date O\INER INSTALLATION The installation is being made on property lawn which is not intended for sale, lease or rent. Ovners Signature: DATE RECEIPT RECEIVED BY: () :~gJ, --T"~.:~~ Uln. ) ELECTRICAL PERMIT APPLICATION Ci ty Job Number (\ ~Dl(X) New Residential-Single or Hulti-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dwelling Service or Feeder Items Cost Sum I $ 85.00 ~ d. $ 15.00 2il $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: ..~ 200 amps or less $ 50.00 1': ~ ~ 201 amps to 400 amps $ 60.00 City iV\(H9.rn5:-. Phone "'41-~C:~I~ ~ 401 amps to 600 amps $100.00,.. %.~~~ v; 601 amps to 1000 amps $130.0q L Supervisor Licen.se Number / /) cr.'-&~'\ ':%'~. Over 1000 amps/volts $300.00'-- , <0 '1:'l ~ ill Reconnect Only $ 40.00 Expiration Date I(")-l-Gg q. ~ c:: ~ " " .~ ~ ~x Temporary Services or Feeders I h-4c., 0,. "'p -'9A ~nstallation, Alteration or Relocation '<?,~~~ 1D--1"-4~ . '*" U'-<>2~ amps or less $ 40.00 ~ ~~mps to 400 amps $ 55.00 Signature of Supervising Electrician ~ e~Ol to 600 amps $ 80.00 /) /J /J ~ ~..J> ~ ~O amps or 1000 volts see "B" above l/~A. l.{f:~ --- ~ ~ "% D." Bra;gn Circui ts Owners Name ~ I Ip ~ SM\5:,('\" ) Address I~ ':::>1..0 <"'~ S-\-. City f\\ll rlro. s Phone SL) I-lt/,..;ll~ CJ ----...... New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 'l'6'l'1m a~ l~ $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 1/5.ro ~I'). ~') 9l.."'t-~ lB.t.cW