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HomeMy WebLinkAboutPermit Electrical 1998-12-8 . . The following project as eubmilIed IIaa the folio zenin.. and does not requlre epeoIIla land UllO or.,..:rowoal. ,B. Services or Feeders Installation, Alterations Electrical Con trac tor)LJi..J; (roc.. 'X{'d'><S,,-/I'~e or Relocation: fOlIo I\tl~ Address (J.().60C ~'I73.:J .'VOtl",'c""rlJ~ ~'lWu>J"orless $50.00 ('l "'O"'A <ltIO/) 11<<j!9gtl1o',g11-400 amps $ 60.00 City (, u..re""V2....- Phone bO'b -6;P.!J~ .,/5<_ O~~~bJ~ ~~mps $100.00 o C<llii OIJ/)) '10' ~~pe.J.({) ei~. $130.00 Supervisor License Number '){J -J.~fI~b/)gt"e <lO'~<I' GQ'6ihl~<I ~1l'J\oi':v $300.00 Ill. erforr C~91{fles.o'~~ re~et/'Y $ 40.00 /0 - (- 0 /'( O'}>/~ Ce/)~ ""61 Ore' (rvOte.'e~ Of t::.!..s..<-n':.rr" I'll'} ....~: c.erl)fj!~~~!?y"~'li1b lYrT.Feeders Constr Contr. Number '/ocf.<ff,'1 PCfJ', InS"twHa 1(lo,l{6 ?/illJ&rl~on or Relocation - 'fiO .'1.' S. -<3 tlfie . 61 Expiration Date J J. .3d -?~~'.~ 'lTe!::/-', '/y1~~E:.,200 amps"o,141es;tI0/) $ 40.00 ""Y "::r- Ui\lD.::; '~9A-l:'amps to 400 amps $ 55.00 Signature of Supervising Electrician.{10~ Rr~OJ~r/f4g1 to 600 amps $ 80.00 ~ A I I ".,; ')C'f'/S48..q~:ov't1J9,6'u(f.~s or 1000 volts see "B" above '1.....<-../ ~ ./Jvf.../!- ""''0 ()OA/~ '!,.f/II :.vfll" 'D 'D. Branch. C'i.rS\ll ts O~ners Name.J,::/I"_f( ~/.J De..e../I' - /"OJy , ~ Ne~, Alteration or Extension Per Panel Address 7') l.{. > c.o " > t. /.p-v . CitYJf~/-W Phone 1'-ll/-/"l ~(.. OllNER INSTALLATION Zonlnp 225 FIITH STREET Dale 12 -"6 SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726~~8Ign8Ium OFFICE: . 726-3759 1. LOCATION OF INSTALLATION "?., \.{ ~ c..o +I-<; "" /jJ..J LEGAL DESCRIPTI9N \l"\D:2."Y\1U O~h1V , t2.L~7(W' n) I I.J;I. loq .--UV JOB DEScwrION ~ Vc...-vQ Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY I Expiration Date I -- The installation is being made on property I o~n ~hich is not intended for sale, lease or rent. ~ers Signature: -------------------------------~;r----- DATE: 1!J. .q::.q-p ./ RECEIPT #: , I r'J..f'\')I",':"i RECEIVED BY: i\Un.J JV\V\'0- Lpl? ~ ELECTRICAL PERKIT APPLICATI~ ~,,,. 'ob Number ~S?: \~-=> 3. COKPLETE FEE SCHEDULE BELOIl . A. Ne~ Residential-Single or Multi-Family per d~elling unit. Service Included: Items Cos t Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. 'Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 .' One Circuit Each Additional Circuit or ~ith Service or Feeder Permit $ 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 $ 40.00 $ 40.00 $ 20.00 $ 36.00 jS,cX) /;{.'=, all;'