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HomeMy WebLinkAboutPermit Electrical 2005-10-18 ~~~i~V~'.~~~d.dL::1)~e 5V.V"~\Ci} _ nln~"'~,' " ~~'~f-l'''3 225 I'll' In STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54I)72"6!Jli89 ~F'Q~ . ELECTRICAL PERMIT APPliCATION ~"\I.Q"""O Slg,'t ,,'. '.-.~ " City Job Number c.ool1lPos--o/oS"l Date \()-\l-Cfj CITY 01. S .INGI'I!.!.!),ORI:GU[\i . l. I LOCA'l10N OF INSTALLA'l10N C[C1 0 ~\c\ ()('(' \""o.('~ LEGAL DESCRIPTION nD 3 ZJ lfL( 3. I COMPLETE FEE SCHEDULE BEWW A. I New Residential- Single or Mnlti-Family per dwelling unit. Service Included 1000 sq. ft. orless Each additional 500 sq, ft. or ponion thereof 072c)O JOB DESCRIPTION {l..b''',^~ ~Q{, \\€.-L0 ~vv\,\,\ (,OOlv) Permits are non-transferable and e:lpire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 2. I CONTRACTOR INSTALLA'l10N ONLY I B. I Services or Feede.n,:: Ip~W1atlon, Alterations or Relocation: no 'li'9.on laW reQU" v- ~ U\ili\,! ':r;E.NiIONloorritePf\9f t~ Orego set lor\n 1011~W lules ~m:;"'~9s4POXliip~;: 952 ,00" , n r.l'ill\l~.r;..::': ,h (l~" t llatilica\\O '<IU{.OO'ttl t"'\600~~~\\'\e rule; J'/ In O,t>.R 95Z-~~ &mP'~O;'I'611~~p.~\ep\1one Phone 687.5770 (\090. :ou ~rlAAO ~~~tsNO\\\lCa\\on calling t. 'R'tiWl~qn1YU\\ i344). l\Umber lor \?;" ,.800.332. ~1' "'~ioporary Services or Feeden Electrical Contractor ill Electric. Inc. $ 63.00 $ 75,00 $125.00 $163.00 $375.00 $ 50.00 Address 4685 Isabelle Street City EURene Supervisor License Number 3782-S Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. I Branch Clrcnits Expiration Date 10/1/07 $ 50.00 $ 69.00 $100.00 Constr. Contr, Number 37587C Expiration Date 7/1/06 (CCB 104929 3/14/08) Signature New Alteration or E:ltension Per Panel One Circuit \ Each Additional Circuit or with 3 Service or Feeder Permit 1(,Q 00 $ 43.00 -. 1, 1ln. 0<> $ 3.00 I. owners~me 0-hfL.., (~~~6dcW' Address '7 ~O ole! Orc..L.."IA.J City <;, \> r'- Phone 73 b - 5'61.( g E. I Miscellaneous (Servicelfeeder not inclnded) -Each Installation I $ 50.00 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: . . " Inspection Request: 726-3769