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HomeMy WebLinkAboutPermit Electrical 1998-8-7 (2) eNGFIELD ,I. ...." . The lollowlng project es submitted has the , and does not require specnlc land usa zoning, approval, . Zoning Lill.. 225 FII'TH STREET Date ~- t - ~{b. SPRINGFIELD, OREGON 97477 .l.uth 'ad Signature (\zo / INSPECTION REQUEST: 726_3'lj~orIZ rr OFFICE: 726-3759 3. ~_JJ(jEr t)loml11~ &--~ I ~(3~~PTIrr)G.I( . \ . JQB....PES~.pRWN - J II, ),,{) 1) IVO~ 1000 sq, ft. or less '-tU.:V l' \ (llll1TS ~~A V~. Each additiona1500 'UlL., ~~. sq, ft or pornon . Permits are non-transferable andC~pYqy, ~~ thereof if "ork is not started "ithin 1~'d'4Xi ~~O cS',y~ach Manuf'd Home. or of issuance or if "ork is. suspej{a~ 'fO'P,s (/1'0 f1n~~ar .DiJelling 180 days. 'O01 '001:> ~-9S~~ce or Feeder J-A "I,s % ~I,.c- 2. CONTRACTOR INSTALLATION ONLY ~~~, ~~rV'~s l'/k, Feeders ___ Ct ~ tft'Gi&rl'li'ffJ~o~QAlterations Electrical Contractor, ). t? rf'''C+rtr ::r",C. or K~ca~~n~-t Address '1 () L t; \ A / '_/.-' ib- JJ.- IX 200 am;;O~r ~ss ~ 201 amps to 400 amps Ci ty ;- , " C' Phone {, )(7'7770 401 amI's to. 600 amps / 601 amps to 1000 amps Supervisor License Number <;' ~7~ <;' Over 1000 amps/volts ( a/i ""'/.0.....'" .- Reconnect Only Expiration Date Y 1/ .., x- l I I " , ELECTRICAL PERMIT tPJ~ON Ci ty Job Number )(.()-1 \~ COMPLETE FEE SCHEDULE BELOV A. Ne" Residential-Single or Multi-Family per d"elling unit, Service Included: It ems Sum Cost $ 85,00 $ 15,00 ,$ 40,00 $ 50,00 $ 60,00 $100,00 $130,00 $300,00 $ 40,00 C. Temporary Services or Feeders Constr Contr. Number I () I...J q;;).. q ,-.q0-~1V Installation, Alteration or Relocation ;, ~ - /VO 0//0/1.0 '!to Expiration Date 7' I~/'Y) ';,,,~~cC//II/e.s2lkbj.jmps' 'or less $ 40,00 ~ ' 009,--'l~s'0"c.i~;;R~p. to 400 amps $ 55,00 Signatu e 0 r:SU~v~'sing Electr'cialJ.. ~ Yo 'S<"Oo~e, /C/Ilq, 600 amps $ 80,00 "lJ.'-i1/It;'g II 'lJC/ 'f%r?; IIlijn~~i-,&r 1000 volts see "B" above 'lJ6". 'lie ~ 061. ,0 'ii" :s'e flJ 1'6 :s' Yo ( Ii . r~ 0 0 c.fo"f.9.~e"/~~~~~:t~u,,~/o O"ners NMe _ \ ~O e"'e,.eO"fi.:"~OI.~'e.so '.tj~.Q .se,/ty I, rVi, 1\ - - rll '01' "s;;;:""u.fJi1/J;ilfBfTdo'f.?-ic'l'fl;xtension Per Ad':}de s \( n ~)~ LA.. 'OO':Ja.1/1t'ty":~/eJJI,,'l.t/e.s" / \1 . I\r~r One ~~rw~ O"e 6y $ 35.00 ,City .,;'yulJJ." hone Ea?h A~'!J.ti~ , Clrcult or'"ith Servlce OVNLR INST'~LATION or Feeder Permit ~ $ 2,00 The installation is being made on property I o"n "hich is not intended for sale, lease or rent. Owners Signature: DATE~------~~-'T~<1r~----~-~~- RECEIPT 11: C j}, r /,\1', N\. ;' RECEIVED BY: ~ LlY'\..:' , ' " Panel ~_ro d.OU E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm no t included) 5. $ 40,00 $ 40,00 $ 20,00 $ 36,00 cJ ~. ~)(Z I, <:5 .::;> ~t-J SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL