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HomeMy WebLinkAboutPermit Electrical 1996-4-3 (2) -. SPRIN.~LD oct a9 aubm\\\\l'<l 11M \\\1\ The tol1owing prcj . .....ulro apoclllo 1a"0 \lOQ zoning. and dOCSjf]ffLna<...., 225 FIFTH STREET appro_at ,ELECTRICAL SPRING~IELD, OREGON 97477 Zoning INSPECTION REQUEST: 726'-3769 I I ~!ift2 'City Job Number OFFICE: 726-3759 - D!lI.~ --~ JI--'1____ uth' rized Sl9natUre~;:<. r ".n:UEDULE BE LOll 1. ~~~~ I~~I~ ) A. Nev Residential-Single or . - \ - Hulti-Family per dvelling uni t. \ ~~~~In~?' ")() Service Included: Items Cost - - ~~~V~~00 / \\O.c:cr Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. I 2. CONTRACTOR INSTALLATION ONLY Elec~rical Contractor JB Electric Address 1786' Ba 1 boa Street Ci ty EOoene Phone 687 - 5770 Supervisor License Number --1aZ?S Expiration Date 10_1_01:1 I __ Constr Contr. Number 84200:-"" .. The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT, I: RECEIVED BY: -~J7i-j7,~--------------- ., I '2b "'JJ""i'J ,(J?_\. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder B. 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 I A Sum ~S 2i) $ 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 $ 40.00 $ 55.00 $ 80.00 see "B" above Expiration Date 6-22-96 200 amps or less . ~ 201 amps to 400 amps Signature of SUPt!;;,ing Electrician Over 401 to 600 amps ~ Over 600 amps or 1000 volts .j ~ Ovners #mr: ~~ Und: ~Branch Circuits Address \) I\~ I ~ ~'2)-- Nev, Alteration or Extension Per Panel (\ \ ^ N .'(\, 1\ · AA A QZ1d) One Circuit $ 35.00 CitY~Qt; Phone ~ \~. {1 Each Additional Circuit or vith Service OVNER INSTALLATION or Feeder Permit $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res S 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE \ \ Sex) 5% S ta te Surcharge . c:; 1.<:' TOTAL~~~ \~. '[()