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HomeMy WebLinkAboutPermit Electrical 1997-11-5 )"' _ JO~DOE~~I~I\ "^_ ". .11/NJ 1000 sq. ft. or less ~ . _ ~ ~ I -r \~ l_~.LJ r-YCl:l- Each additional 500 J \ AV^ sq. ft or portion Perjits are non-transfera~le a~_~~Ee thereof . ~ if work is not started within I80ftd~~ Each Manuf'd Home. or of issuance or if work is sus~I~~ci'U' Hodular, 'Dwelling , 180 days., 00,,_ D~ ~l' Service or Feeder . . -U ''74t ~~ .9~ . . 2. CONTRACTOR INSTALLATIOrf)-<>>>J~"~ <:)V4 ~(~~ Services or Feeders P I. e:. Oh",~~Qd_e>~.:-:.r,odinstallation, Alterations Electrical Contractor!/OKJ ('/ SfV"';lY~J<3ICpy;~;. ~~Re10cation: Address/f<O J~c,6~v'v D<:{ ~...o<Soo~ns or less . , *AM?-';~~to 400 amps City J:;::; VA ~ Phone(~<i 157 J ~ '~~ ~o, 600 amps ( ': ,', 6b~mtl'.$' to 1000 amps Supervisor License Number ~S--:7 Over 1000 amps/volts , .".) Reconnec t Only Expiration Oate/{)-{ - 9'l:> , Constr Contr. Number r~;'15 Expiration Date j-J-S- -'1ci . . . lGtV' 225 FIFTH STREET , SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ~_~~~J1,N ~~Trft0~ ill .l~ . A. l f\ffi~~IO~8ff) I Signature of Supervising Electrician ~}r~ Owners Name ~ -kilO 1 ~( ~ D. Addres~ ~ '1~?~ City -.li lq () If\L, Phonel%~ O\INER It4hALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovner~~ignature: - DATE: ------tts~qr ~~1~ RECEIPT II: l iLl] l' r"l"MCJ:"" / RECEIVED BY: HllL '-.::J ' 3. ELECTRICAL PERMIT APPLICATION Ci ty Job ~umb7r q~ 14-R' COMPLETE FEE SCHEDULE BELOII New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum $ 85.00 PO $ 15.00 4s $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amp~'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 4{) $ 55.00 $ 80.00 see liB" above volts Branch Circuits .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or' Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Serviceifeeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm no t included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 IfJe ,co r:s.W - ,-S . l.U.- ..tE:~L In )