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HomeMy WebLinkAboutPermit Electrical 1997-9-18 :~'::~ "'';-: .:\' '-:.';1 '",-{ ,.,:_~~ ',' " , <,.r " /) \.:.! '-:.-.1 .,.;, ".::'t . .~ '- i , --, :, ;~ ; , --.! -..! i I ,:'t '., ; ,'", , ',f /1' :'1 . . "'1 , , , .. ~ ',r , .. .':: ...., ,~.'! ,'r :'j' " ~I "'I' '. ! '\. , I' f", ,,;.'i'V:. ,..... .". '" ~ ': r f~- , apprOV<l: . ...0, . /. . zcnir:-g-t(\ fJJV De:~eg" \<{ r't1- Authorlzed signature_AM 225 FIFTH STREET \ SPRINGFIELD, OREGON INSPECTION REQUEST: . OFFICE:' 726-3759 , 1. LOCATION OF INSTALLATION ./~2-0 . ~ ~ NOTICE: i \ . THIS PERMIT SHALL EXPIRE IF THE WORK AUT'HORIZED UNDE.R THIS PERMIT IS :&~TRICAL PERMIT APPLICATION 974 7~OMMENCED OR IS ABANDONED FOH '. - . 72~"~V~%ODAY PERIQD. Ci ty Job Number, q l \ ~ q I If~onz~/I[!r.- ()J~)"()O< JOB DESCRIPTION ~..J.; Q. LL-lj . Permi ts are non:...transferable and, ex'pire if work is not started wit~in'180 days . of i'ssuance or if work is suspended for .180 days. . 2. , CONTRACTOR INSTALLATION ONLY B.., 'Electrical con'tractorl~J2-. ~. . Address lOr ~ ~. d~ , Cityf~~ Phone 72-f--/SCfli superVisor~icense Nu~ber . y>tlS -!; , ,IVi6 / 63/3.7 /Z;/ 9~ r Sigflat~:vis~ian . I ' Owners Name '~ ~..,o.. D. /- . Expiration Date Constr Contr. Number Expiration Date Address City .Phon~ OWNER INSTALLATION The instillation is being made on property, I own 'which is not> intend'ed Ifor sate, lea;se or ren t. 'Ovners Signa tu~,e: .. DAT~~---~--1~7:OC~------------------- RECEIPT#: .. ~., LI--:"~ ! RECEIVED BY: -\<W 3. COMPLETE' FEE. SCHEDULE BELOIl " A. New Resident{al-Singl~ or Multi-Family per. dwelling unit., Service Included: Items Cost Sum 1000 sq.ft. or l~ss 'Each aqd it i on.al 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 Services .or'Feeders Installation, Alter.ations " ~^ ot Relocation: ~ ~ - ~7-"""'" 200 amps or less (. $ 16.00 S;O 201, amps to 400 amps $ 60.00 401 amps to 600 a~ps $100.00 601~amps to 1000 amps $130.00 Ovei 1000 amps/volts $300.00 ',Reconnect Only S 40~00. C.' Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT' less 201 amps to 490 amps Over 401 to 600 amp? Over 600 amps or 1000 S 40.00 $ 55.00 .$ 80.00 volts see "B" above Branch Circuits New, Alter~tion or. Extension Per Panel' One Circuit Each. Additional Circui t 'or wi th Service or,Feeder Permit. $ 35.00. $ 2.00 E. ' Miscellan~ous (Service/feeder not inclu~ed) -Each in$tallation Pump o~ irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.0Q 5. SUBTOTAL OF ABOVE ':;().~ 5% State Surcharge _,.~~ 3% Administrativ~ Fee " rD , TOTAL 4;l':- -