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HomeMy WebLinkAboutPermit Electrical 1997-10-10 (2) ~ " ,. .> , SPRINGFIELD . .' .. , _,' ~ I 1;.' ~ '....:1 ~ i \.-, zQj1ing, and does not raqUlra opecHlc luna u~u approval. ZOnlngJY}[Lv \'\~ ~O'r.~ Date \0-1C\-4f ~: ~",?\'r.~\r'~\,\'O~O' A"t2:25"'F.:iiFJ1Rlr~}'VI ~-c..\C 'J1: C;\'\f>.\.~'r. ,\,\\'0 ?~?I ~\l rO'r. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON ~Y'~~\ "'D~~\l 'Pf>.~\lO~ /77' ///{../ INSPECTION REQUEST: '7'i.6~~l'T;. O'r.\'O~ City Job Number '-7 //07 OFFICE: 726-3759 f>.\\"~ ~~C~\) ~O\). tf~ ~?~?I 3. . 1. LOCATION OF INSTALft ~<>t'/l~ o !I: ~/ijO ~/<:'~ 'fi . A. (/ LEGAL DESCRIPTION JOB DEJiCRIPTION d' /1/,:'-<-</ /Jou5C- g~ /J/'<;v <./ 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. CONTRACTOR INSTALLATION ONLY Electrical contractor~~~~~i~ Addl'ess PD. Bot 1:;13.;13 Ci ty So.l.t. V'v\ Phone .f5::g,-.I)I?F,-48'1q Supervisor License Number 2:2:<.7';-;0, Expiration Date ID-I -qg Constr Contr. Number ()9;oSQ3 'Expiiation Date ;;2, -/g--qq Signature of Supervising Electrician d~/ # h0~-4"A.--/ Ovners Name~'I'1'I-InMhs. TI1c.. Address I p,q ~,. ~c;fic.. AU.\lA I Pfl j2,1'>'( LlSl ~ Ci ty mDY1YYllJlrl-h Phone. S~-\l; ~\S-OOCfIo v.,,""" INSTALLATION The'installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: /0-1 D - <; .., RECEIPT 11: ::1.7 (PJS I RECEIVED BY: ~ COMPLETE FEE SCHEDULE BELOY New Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less -I- $ 85.00 Each additional 500 sq. ft or portion ) thereof $ 15.00 Each Manuf'd Home. or ModularDl/elling Service or Feeder. S 40.00 .B. Services or Feeders , Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 /,01 amp's to. 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 volts $ 40.00 $ 55.00 $ 80.00 see, "B" above D. Branch Circuits " Nev, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or vithService or Feeder Permit S 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation . Pump or irrigation' Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ S ~.Oc;) c;:_ oc) ~,CP 108 _CX:; //JC~) 40.00 40.00 20.00 36.00