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Permit Electrical 1996-10-2
i.v.'{ ..~. .:....i~:-'i':.' ,'. " 0-;. ""';'. ,V""';" .",' .'.", ~,., . I\_....~.~ ......:;.(p_l.i~;.~......~.;::~~).,~:\.: :..;.~.t'~~\c'-~ "\~<;",'.:,,~':~,"::'~'~~.1f~:~~.;~:~j.,:,~,",,,,/, \.., -,). . ...:, ~ -)-:~.....\;-:'~'1;' . 'I~'~:'~" ......~..i}.~::~.~~l~i.:.V.~'~:::~)~....:~.~;.:t..-lo;~~,(".r.,~:/.;"'''1j:'i:7;..'i:A?1.-v~~~~~~r~~J~''I'..t1:~~''''': ,,:.5i.~;,.;:I." . ~.~ :.;;,.; :~,t~..: : .. . .._~.' 'e ~ ') '~_ . '\;.'\:~...<;.,\.,;u,._':.;;,.~\ ~~ ,,:;. " ;f.i.~~........~- ,~~.. ..~.~ -.'......^. "".0.:.: s.,{",.\ 1',.1....;~::I;':"iJ\...... ~-<- {" " ~,,>..."... _ " ".., 'f, '.. ~ . ...,~~\ '" .... ...y,.-rJ"....... ,...~" ,~~ ,.-.-",... .,...... "'..!J....-.,., "'~~, "~ . .,;'> ":r.~,.._".~ ~'''':'4. . B~--..- ;' ,.' -' ~. '-,..- .:J:.,.,?.;."..:;......- ...V.;.,;;,._...~'I.;7.:~;;:-..i;..\...~.,:.,.J'1.-:,...~...:. '., .........-~.'J::..'"'?~._"... , '" I I '" ....<t..1'.*. " , ....,...._:.., .' ',: . ,", .... , ,. .. .:: t,.' -/;/o _,~l~.' ~... . .~_~_'" ;' " '':':n,., fclfowrng projoct'as .ubmlll6d has no ~ ' . . . . zoning, and does not require specific land u! ~ . ' approval. (\ 225 r~r~o STREET . (ll ELECTRICAL PERKIT APPLICATION SPRINGFIELD, OREGON 97477,'. ZOning ~, INSPEC'l'ION REQUEST: 726-376.2rto In .~~ City Job Number...:i...0z../ J). K' OFFICE: 726-3759 ~ Authorized SlgnalUre. n...... r J:J:. .,,,,,,,,DULE BELOV 1. ~TION OF I~STALLATION d 14 P.iSl.npPl? P....QIcI.'r.\1 f,le<+- A. Nev Residential-Single or ~: Hulti-Family per dvelling unit. LEGAL ..Qt:SCRIPTION Service Included: Aul'IOJp ~"'~" I, 0 3> 35 3 L- 6l/o(ft> Items I JOB DESCRIPTION Alarm Installation '..... .j:....,.:{:-::.-i~.f...;f1".' .-, >.~""".l''.t'~''.1'. . ; .:' ,oj.. " ".\1'" ....,n ":lfr:.t~; ",~; ..~,.- ,'. :-to ".,' ,~,(~,~,~~~... . '. .'r~: . : -_~'~', ffj,. ~":, f' : '~r.,.:."; . " .~, .., tn...\/'....."....... :.....-..,.. ',.r~.' _ .. .~'.~ ~l. 4>, ;.- ~._.., ,', .., ., . ~....... ".-'; "~',:t' <ft'. Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodu1ar. 'Dvelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical ContractorADT Secu~itv Systems or Relocation: Address 1501 Pearl Street. Suite B 200 amps or less 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Ci ty EUQene. OR Phone 541-342-]11) Supervisor License Number 't"q JLE Expiration Date-10/01/96 Constr Contr. Number ~9944 Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 .' C. Temporary Services or'Feeders Installation, Alteration or Relocation Expiration Date 04/29/97 Signatur~ of ~e~vising Electrician ~fl----/ 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. . . Branch .. ti rcuf ts $ 40.00 $ 55.00 $ 80.00 see "Bll above .' Ovners Name lhe M~ l<o'>P Nev, Alteration.or Extension Per Panel ...Ad~";~~O"'~1 6Jd "", "<<,i, ,-- -- ..--. ... 13"00 .. . .., ' .~~.._~~_t.Y.' I'p. Phol)e ~41-.';;)l,IIL__._"_.__E_~$!..~d.dit~~~.~L.",._.__.__. ."... _'_._""___ '. CIrcui t or '0'1 th Service OWER INSTALLATION or Feeder Permit $ 2.00 :'.: .'l'h.e :1ns talla t ion is being made on:......".. E. ...~.~proper.ty ;J.sovn"vhich is not. intended..' i. .'.,"''"". for sale, ...lease or ren t. Hiscellaneous.(Service/feeder not included), :. ... -Each 'dns tallat.ion,..:.;'" .....: '1"""-,"'<,"',:",,, .1."'~"".'" '; Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm --L-- $ 36.00 16.00 Owners Signature: DATE: /() - / ~7~ RECEIPT f: (' )~.j") RECEIVED BY:. rJ. /Y1~cl1~I{) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ,.,..... ,". .'"... , .' . . U_~_.':':"=--"~'~~_._R___'_."_.' __~.......,.~..__.__'-...._ ,.'_~~~'~_"'" ".... .._'.~.. ~~'_"'_~~~ ....._ _,.. '." _._ ..,_ ...__,____~ 3fi.P'P' 1.80 1.08 1R.1l8