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HomeMy WebLinkAboutPermit Electrical 2007-6-13 CITY OF SPRINGFIELD, OREGON -. '~... ~)IIt\\~ L~AL DATE' ~~/ -.. ..,. SOURCE ~ 1-- )' --,. ZZS FIYI1I STREET. SPRINGFIELD, OR 97477 . PH:(SlI)7Z6-3753 . FAX: (SlI)7Z6-361l9 ELECI'RlCAL PWU1{lT AJ?PIJI:ATION City Job Number l ' JI \ ~ r-'II fll.?f Date '. ' ~1 LEG.v::DES~: fVJ ""''1~ A. Il[)?'~ lllJ UDCLLV Servlcelnduded JOl\D~S~ON: (f\ L' U~ooosq.ft.orless ~t\)~ t \AU- @r1Q '0~=~5oosq.ft.or Permits ";"'-non-transferable and ~1re ;work Is Eacb Manufact'd Home or not stnrted w1tb1n 180 days of Issnance or If work Is Modular Dwelling Service or Snspended for 180 days. Feeder ...' - ''': ." ~w' ~'.'''~1 "'-:.' :-1_"""J~ ;- I .", ",,<;t '0'" "fl ..,"~ i~ ~",,1 ~ , J.'.I~lI'!_!'. :\'tlh'NfJ.~.:...\...!Jl..~.'.!-l, 'J,-:..IU\'Jo_c.!I;',Tlll r," . ,.r:_. .~_"""'".*-__. r: ~.l~ 1_ _. . ~~.. $117.00 $21.00 $55.00 z. . ~~.{:4 .;: i:!{..t(..1t!1~~ ,~t.;r~?(':J j'l!~l:'j' f?)J:Jt..f)~ 'I [l.f~ ~" ,., , .- .\:.oi. .. ~ "'""'~_ .'~ ~_~'_ '. "'" ~ _ B. .."\. 'I'!"'" ;;' ~.)..,...'" ,.:il-+~T.""'."l <.......~"...l'.. -;I"ll':'\'''~T' ,..folr., ~. \..!)....t..t.... t:.~""'l".l~ !;.i,.I.I.I',d...,n., 1ft' '.lL',1' ,~., ",,'''0 'j;~ "~,-.;_._ +.~-,:;"-"'r"""l;"~"""~.~a!~I..";-....?'-!1..'''':. "..?::.' ....-:;.J, 1 ~;>-':':-:':'1!1 Electrical Contractor 11l.ll J JJ IA.ky Ii,. t'7/'u c.- Address ...,yQO Y/3.tfI. ...2/_-;-tt.3 City &" xL Phone.51/-~rrt. -:J.3h.5 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIV oils Reconnect Only SZ!!;~ Spec!' $138.00 S180.oo $413.00 S 55,00 d' \ '5 (.^-' Supervisor License Number _ &);) ::) d 0 Expiration Date / 0 - 0/ - / 0 Constr. Contr. Number ~ /}/) - / t./ 5 6 c. Expiration Date '7-/-,;200f Installadon, Alteradon or Relocadon 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 s or 1000 Volls see "B" above. """ '1' D. ' S 55.00 S 76.00 S110.OO Signature of Supervising Electrician ~&/ OwnersN~ ~ Il~\Oi0 11 ~ i"~~d:~="C=torwith Address_ ~tr Xoi;- DC' E. City ~hJX)~.l'hODe &115%'l1l1 Pump or irrigation S55.OO Sign/Outline Lighting S 55.00 Limited Energy/Residential S 28.00 Limited Energy/Commercial S 50.00 Minlmnm Electric Permit Inspection Fee Is $50.00 + Snrcbarges .. ) 4. l<&"W 8% State Surcbarge (p .2-1- 10"10 Administrative Fee ., . g" c.> 5% Technology Fee ~ . OJ 0 ~ -\-(JOT AL SIuuod Drive(T:)/Building FormslElcctriCll! Penn;l App~ ;~1 -~'tCii0f\ . l( 6.u~ DlxOn W New Alteradon or Extension Per Panel One Circuit I $ 48.00 sjr.oo ~pV ", . .. .. ';:j" ...."'. + ~'1 . '. '~I' t! "'l.!~' '':;. t -r " j' .-LI '. !t"':r:,;i'~".J::.!~r'l\_/j\'~}! ;)~.\~~ Itl.ulll!~JJl :..LI_r. .JltIL' !1J.111)r!J ~ . ~ ., -.J ..." ,~. "~" '''. .... ... '" . ..t~t .....\ OWNER INST ALLA nON The installation is being made OD r.'r-:,' I own which is Dot intended for sale, lease or rent. Owners Signature: - ~\O~. -.. -. .~ '. " , "~(i" I'" ~.. i~')()lt::~"i;;;-'~"'_'-"".~~c..ilr'iI'~' ~.. - ~.t,~~ .....::'.: _': ...~~~~j~~. ~'T.;~.~i1:;