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HomeMy WebLinkAboutPermit Electrical 1997-8-28 The following proje-t ~Ub ' zoning, andri.~at 'I mitted.~;:)a th,:') iO;:O',Ji!1f1 approval. nr~ eqLJ.re SPeclJIC J",nd u: ; - Zoning r;, 2i/ q1 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATI/O~ 'Z.J-- 4//2~ ~.r~7/l.r'A0 \ ~~~~~I~COO ~~~7~~//03 Permits are non-transfelable .and expire if work is not started ~ithin 180 days , of issuance or if york is suspended for 180 days. 9ft1] - r M Ail~6013.: '6& gignature Expiration Date OVNER INSTALLATION The installation is being made on property I ovn which is not intended for sale, lease or rent. Ovners Signature: D~TE~-----~-~t{,\--~------~-~-~' RECEIPT t: .,,;,.\ I.,r~~. RECEIVED BY: 'tJ \}J.J'" . ELECTRICAL PERMIT APPLICATION Ci ty Job Number a.l \ \ \. Q\ 200 amps. "OT less , 201 amps to 400 amps Over 401 to 600 amps 'Over 600 amps or 1000 volts $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 J $ 40.00 $ 55.00 $ 80.00 see/ liB" above 2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders, Installation, Alterations Electrical contractor~"~i~ or Relocation: Address PD. 60i. I ~3~3 200 amps or less ~ ~~01 amps to 400 amps Ci ty DD ~ yy\ Phone hf)':\-J1RE-1.J8'1Q ft,~O' ,1$1 amps to, 600 amps -\~ {O~01 amps to 1000 amps Supervisor License Number :(:;{ ;?,?; --;~~ #' ~er 1000 amps/volts .J....~"I. ~~~ ~ '<<'fi:econnec t Only JD -I -qrg , ~I'" ,))~ ~~ . . ll~~Y ~~' ~~OC. Temporary Services or Feeders Constr Contr. Number D~i~, ~<() ~<<>~ Installation, Alteration or Relocation ~~~\ .JI. ~ . Expiration Date ~~~'CJ;.~ ~O<),;o. ",p~' , ~ -v.-O ~CJ'<; ~~ Signature of superV1~Sin ~~~'t~~ ~~ // // IP ,'O~ ~~ ~./ ..k'~~~ ~- D. Branch Circuits Owners Name -1 Of ks liL ~ ,tIDYY\.li S, ~ Address \ e>q F>. r6.LihG th.-u~ / p(), !2Jox LJSl Ci ty y{)"Y'lYY1rJlJ'l-h Phone 5~-<?; ~%-OOCffo ,. New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL E. Miscellaneous (Service/feeder -Each installation - Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 Cy-a c;.cJ ;:;z c.v / "0 L./? ,,;2 c) ,. -