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HomeMy WebLinkAboutPermit Electrical 7-10-10 ,;' . 1,lir;, und does not reqUli'3 C,J;;"ClilC bOa U.l", _-..\' ,I( uf>l"rc,v",1. ~~' 0"- '^^ J\( '\~ ~~ Zonill9 I V \(]V ~ ~ # '" ~ D~~to_1n - \ (\ -q1 ~~~~ ~~~ ~<8> <<G Auth~~~:l ~FoJli'~He S'T'RF.F.T il.rY\ !;.~ ~ ~ ~~G SPRINGFIELD t OREGOt1~~~ CO ~~<() ~~ INSPECTION REQUE~~~ w-.3~ ~ OFFICE: 726-37~ ~<<. ~1.,?() ~O~ ~O~. '\~~~<<) <<.<() 1. LOCATION OF INS~ <;;)~ 9'//t/ ~r-5U (" i~ (j - ~. LEGAL DESCRIPTION ~ JOB DESCRIPTION ,,(/&"lV hOI/SG. ~I/A.-, n'ru {./ Permits are non-transferable and expire if vork is not started vithin 180 days - of issuance or if vork is suspended for 180 days. 2. CONTRACl'OR INSTALLATION ONLY .B. Electrical contractor~ Address PD. Got 1~3~3 Ci ty So.lt- V'Y\ Phone, M~-/)g8-48ryq Supervisor License NumberJ2 ;{,;:;--;a, Expiration Date ID-I -qg Constr Contr. Number o~o5q3 ELECTRICAL PERMIT APPLICATION City Job Number ~;7~~S--3 3. COMPLETE FEE SCHEDULE BELO~ . A. Ne~ Residential-Single or Multi-Family per d~elling unit. Service Included: 200 amps' "or less , 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits Sum Items Cost 1000 sq. ft. or less ) $ 85.00 Each additional 500 sq. ft or portion ) thereof $ 15.00 Each Manuf'd Home. or ModularD'Jelling Service or Feeder S 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date ,~-/g- -qq S~~;:;7~ O....ners Name~LY(~DYV\.hS. ~ Address \ 6'1. S. r:6.c.ific.. I-h..o(j / PI), i2Jnx LJSl Ci ty mDnYYlOIJ'th Phone...5~-~3%-o0<11o OYNER INSTALLATION $ 40.00 $ 55.00 $ 80.00 see, tlB" above ,. Ne'J, Alteration or Extension Per Panel One Circuit Each Additional Circuit or ~ith Service or Feeder Per,mi t $ 35.00 $ 2.00 not included) E. Miscellaneous (Service/feeder -Each installation - Pump or irrigation' Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm The installation is being made on property I o~n vhich is not intended for sale, lease or rent. Ovners Signature: ---------------------------- DATE: to -10- q I RECEIPT #: ;:;. 7 L.:, ~?- hn".,.,T",.,n nv. ~ 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee 'T'O'T" AT. S 40.00 $ 40.00 $ 20.00 $ 36.00 /00 00 sod .~,C)o /og,QO