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HomeMy WebLinkAboutPermit Electrical 1996-4-3 I ~'-fllf""""n,,:'LU T owing pro;ect as au m . U ,,,,,......., zoning, and docs not requiro spoclflc ~nd usa appro....al. 225 FIITH STREET ~ [) (U SPRINGF.IELD, OREGON 97477 Zoning _ INSPECTION REQUEST: 726-37/iltt. L\; 1.0 ~ Ci ty Job Number OFFICE: 726-3759 . . AulhortzedSlgnalU", . "nu.,,:.': ;;-;:l SCHEDULE BELOV 1. LOCATION OF INSTALLATION I.jn~-A Plo"'eea..... PP,~AY w~ LEGAL DESCRIPTION ;/'7.03 ?~2-3 / ;L) -I/'ffJ JOB DESCRIPTION ~ e - WI e.ce IZ-l?...., 1'\1';1\]' IE"" Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor L-AI0T'L ELeCrR.'L Address.,,3.1.. 1.02.-(" cellA 2- t+ Il.l-S CityP~ I-\-llL Phone 72-~"Ot.:.~" Supervisor License Number 3 "l '1"2..-..5 Expiration Date \0 - "18' Constr Contr. Number if '-I t.:.'l'i Expiration Date 7- IY-"lh Signature of Supervising Electrician ~~~ t..) Owners Name etJ\ e eAL 1\ IH2.nPe-IL-r-'1 4.~ MT.E-~U a. ~.,.- Address 1:,3,1 City S~P!\ Phone "'7Lli] OVNER INSTALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ----------------~- ~~-~-------------- DATE: '/ 9 ~ RECEIPT lI: '2e-"'}o;(-' . RECEIVED BY: /~_' L - - ~ A. New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 9..5?)~0 uni t. Cost Sum 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 $ 85.00 ~.s~ $ 15.00 IS ~ $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above 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 Permi t E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL .3 7b M....\~ P€'C \ '-l l-frL- $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 \DD~ S 02- .:;1.- \08~