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HomeMy WebLinkAboutPermit Electrical 2000-5-31 , ~ 1),61. 6.00",;, 0/,0".. :O/,,~ ~ ~" ""I"" .010 () . "06 ~6~ "t. \. ~ "tI. () <'"0 I'JO/ 8,r -1<ot.;O "';'" r69~6""it. ELECTRICAL PERMIT APPLICATION 97477 """, '6 60'.; . . 726_37690'6'~1 "',o6C01t,;;"'t';6fity Job Number (YJ- ()()2~ I - 0 ( "I" ~ 001'. - . "'6 I'Jq o~ OMP~ '$E SCHEDULE BELOII 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1.! n5~01Jp fSrtKflOfourr m PJ:szrt!et r I OJ-G 0 identia1-Single or Mu amily per dwelling rvi e Included: JOB DESCRIPTION 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 .B. Electrical contractor~NS E/t.c..Irz;c.Co. Address }J,f).L A- City h+l\ CtUt. Pho~e..:JU-1~ Supervi",or License Number /J- 35'1- 5 Expiration Date 10 !()O I C. Constr Contr. Number /02- 3/" Expiration Date 10/tJU I Signature of Supervising Electrician <;:c-f^^ p ~ Owners ~a;e ( .flnCL.. (o,c;r;-f-,Av Address .~/1.~ (j)111(JIUI1z,rL- Ci ty ~e.rVL---- Phone OIlNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. lvO:~ Signature: : 39N\JH8 OO'O~j _ . OOOl ~W: too---,--------------- C;v6 !00lC&:fl I . . . RECEIVED BY: 7." r\JAA v Items 1~00 sq.ft. or less I Each additional 500 .sq. ft or portion c- thereof ..:::> Each Manuf'd Home. or Modular 'Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 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 unit. Cost Sum $ 85.00 <t5oo $ 15.00 ?SDD . $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less J 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 40.00 LfO.DO $ 55.00 $ 80.00 see "Btt above ,- $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 $ $ $ $ 200.00 )L{. U u . (0. O~G,l, .J-d-U - u U