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HomeMy WebLinkAboutPermit Electrical 1998-7-29 o lPf 'nli -- t:. ~OI f\~r\' SH~1..1.. t'l: tRMli IS iHIS ?t UI'lOtf\ iHIS ? ~,~8P,i~ v f>..UiHOf\lltO OR IS ~~~"'1. '1 .tjf, - I-/II-/ItI'lCtO cO t>,'/ "tf\IOO.Authorized Sig'I'!II!H~ T P1':RMT'l' APPJ.Tr.ATION 97477 t>.N'/ ~B()O U- 726-3769 Ci ty Job Number 9:3 c5 515 ) 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders ~ ~ Installation, Alterations Elec trical Contrac tor (!E/t//Jf,#-/7;1 1'0,LL /AVor Relocation: j) :;?-t//1'<-P'''' An Address I ,cPr if-6v"'Y/L 200 ampsf8/~- f~ON:O~_ $ 50.00 /) _' c. _ ___ 201 amlWo 'l"'400e!/jmBij ~'Ml/aWI'OO Ci tyL:../? Ler:; Wk'-t-- Phone I) 9'5 ;(?~ 401 am~il6 lFC\llMl ~~."u oyth 1f~@@'ou.1a..-.- 601 am?;>. '\fI s~91MB; , nos~ r roa..Jti/ity.- Supervisor License Number Over 10080ell'ipu;hJtcIJI,t'MJIUthroug fDfGUDttIr- ReconnecC\!l/l11og.lhe Obt<l~e ~61'~-O<:O1 - nUmber foe center. (Note' s Of the rUles - - C. Temporary S'tY1Y,l-,~ocegd'~~!!/:r!;te/ePhon by Ins talla t ion, 'llfl'i:~L1a8e{j_'33 ~~!cM.l'bn . -2344). Ion 200 amps' 'OT less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80,00 Over 600 amps or 1000 volts see "B" above e t:. :....., (~'H\.j, " I-.=,~U"" 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION J/ X" 7~ OL..,CJ t'J~c444d/,L//V 'f~_)2~W3~31 0 0 J07B QliSCRIPTION / He uu -7"".,- :. Permi ts are ,non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date Constr Contr. Number hAIl /f1 /J Expiration Date {I- /'0-1 r; Sign#;~ s~er;o~an Owner; Nal rFu. t1LrL 6 ~f(le \ D. Address .p. (J.Eo'XlL/ 1 ') City GIQ/iAY...- Phone iL/"-//4&O o OYNER INSTALLATION The installation is being made on property I own whi~h is not intended for sale, lease or rent. Owners Signature: ", oAT~~----~-Jl-q-rt?-91----------------- RECEIPT 11: {)J( ()<f U- RECEIVED BY: "'-I. .lfh-rA________ .. S'-,FIELO as, ,,~,; .' 3. COMPLETE FEE SCHEDULE BELO\! A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder $ 85.00 $ 15.00 ,$ 40.00 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 (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limi ted Energy/Res I $ 20.00" j n. 00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL d-~;~bL .J. I, IP ~ , \