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HomeMy WebLinkAboutPermit Electrical 1998-3-16 .. . ' ZvnmQ. ,me d ro oct as 8Ubrn ". o'c,.I. "".nolrequ/re::"~"'I/"'fo' lanctuee Zonlng_ (C Q"~3- J("'r X AutnorizOd S/gnaf - 97477 ure_ n ~ 726-3769 .-- -- 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 , I. " ,. Y. LOCATION OF INSTALLATION l"h ~ 3 V;t')-(\.R QA yL(w u \ 61Qoi) LEGAL DESCRIPTION Ii 0 ~ '2& 1.-3 ~ JpB DESCRIPTIOP N.tw ~.l~ Fermits are non-transferable and expire if ~ork is not started ~ithin 180 days of' issuance or if ~ork is suspended for 180 days. . . 2. CONTRACTOR INSTALLATION ONLY Elec trica1 Con tractor9rAft--IZIVN Address t-I '5 t? i7u~ <7"- 'Phone 1f<{,4- - 71-7 5 Supervisor License Number '1...12- '7 S City ~iJ~,.JG Expiration Date Of/I q '6 Constr Contr. Number If I '7;;1/ 2-/'1'1 Expira tion Da te Si~rJ~id~ ,"O~ners Name ,~rina 1n111," { I r( j """"'C7 '...!.lY.L..l- Address X'~5 S . ::r~~'5T City <;OfhLla~One~ 011NE~ INSTAL~TION 54-/-'941-ItJOSS The installation is being made on property I o~n ~hich is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: .3 - 1(.,.- "1 q Rr,''''l. i;. lr; RECEIVED BY: -l<.LJ J. C, " I . A. ELECTRICAL PERMIT APPLICATION . Ci ty Job Number C; <(; 0 J 7 L{ - COMPLETE FEE SCHEDULE BELOV 3. Ne~ Residential-Single or Multi-Family per d~elling unit. Service Included: It ems Cos t Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Mi9~f'd Home. or ModulH-\U~,aw.ing Servi~ .Br"'~eder oIll J 'l:RMlr B. Servidll:Jom:~i.e~f!t.. ;:,,^ Ins Pal~~~.o~D 6'l.t.eial"llO~ .' ~ ~?11'Z1u or ~ OC~It'~~:O "u/:'"R 7"1118 IF rHE {., 180 D 'R 18 A PE'RM, r/lORI( 200 amps o~"'~E~" 8.d,~ ~S/SI\'r<JP 201 amps to 40(j''tlrIIps D~so:'do 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 $ 85.00' $ 15.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see liB" above " Ne~, 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 Addi tional Circuit or ~ith Service or Feeder Permi t r E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL / ~ $: o-~ $ 35.00 $ 2.00 ~.- not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 n.-- . '::;;i{./,?' '7(;/ J.,J