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HomeMy WebLinkAboutPermit Electrical 1998-3-25 (2) .. ~"IlIl1~;(I..i:J::/ / it I ~;j 1'=J.''f,fB~r",la'itM.JIJ,J~ _.~";~& approval. , ZonIng ,( {1 V ' , Dat:!jac:;/0 ~ AA:: .,:~, .SIgne1ure~ -OJ Rr.TRTCAL PERMIT APPLICATION 9~i~~376NOT'CE: LE)(P\RE\f~\t~08l} Number!lj' tJOq<.( , "THIS PERM" SH~L Ie:, NOI . , UNt%R "T~~~"T FEE;' SCHEDULE BELO" 1. LOCATION, OF INSTALL('TION ~U"THOR\ZED NDONED FOR ' ==\R<;::::: D', r:,,~"'d\ "OMMENCEDOfW?~~'W Residential-Single or - DAY PERIOD.Mul t i-Family per d'Welling uni t, !!to~~fffqon2/q ~NY 180 ' Service Included: Items Cost 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 J, OB DESCRIJ;:TION ~ \ C"<{' ~. "S ,,<L,.. 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~'(J\F'J", PIV\S """\<::>''1''''\ '" V6'O~"-'\'\-'>.J Address Y.:), \t,-:)>c ':4J-.L\ \., . Ci tf:F<--l \':=..,~, Phon~/-(-,L\)l \ '.2,() I~ -:),L- ~ Supervisor License Number ~ _ell -'..:c.+.1ii... , Expira'tion Date\ t) /<Tl\)""\<?\ Constr Contr. Numbert~_5h/~ Expiration Date (() I \~ J "\51 I ..:;. I Signature of 'Supervising Electrician ~ U \fV1..- O'Wners Name G'0..C}..; _~ \--(~ \=\"Y'f"\.lL, Address K< '\ \Mc( Ave. Ci ty.<tt---L\':f~_. Phone~q~-/~b'l OVNER INSTALLATION The installation is being made on property I o'Wn 'Which is not intended for sale, lease or rent. Ovners Signature: D~~E~------~-l;l~~~-~-------------- RECEIPT #: I ,C,I-L<11..DV RECEIVED BY: ~'fh I~ . 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'D'Welling 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 am~s to-1000 amps Over 1000 amps/volts Reconnect Only SiJm $ 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 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 '$ 80.00 volts see "B'I above 0' Ne'W, Alteration or Extension Per Panel One Circuit 'Each Additional Circuit or 'With Service or Feeder Permit $ 35.00 $ 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 5% State Surcharge' 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 '.}Jl:J.lJ 1 20.()tJ J,OU ',ilfJ 2/."tJiO