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HomeMy WebLinkAboutPermit Electrical 1999-10-5 Nev Residential-Single or Hulti-Family per dvelling unit. LEGAL DESCRIPTION Service Included: J<l tn Oh./ 'L ,-L!.'/i1.1K) J.oro :iG.~- JOB, DES~~I~ ~,~~;. ,~~~~.:~di~io~~/;~~ , f .' . . 'sq. ft or portion Permits are non-transferable and expire . thereof if york is not started ,within 180 days Each Hanuf'd Home. or of issuance or if vor~Gis s~spended for Hodular'Dvelling, 180 days. l'!a' ,.~'~' r,. e, ~~ '. 0,.", , Service or Feeder In C' . t;rl r'~." chil . ,.. .__'. t '" n te,."" 2. CONTRACTOR INSTAI:U';f,?N .ON~Y : ", It ~2 ,B;;~~S~5Iy!ces '~r Feeders . _ Ca'li,,' , >C}".L.' .' ":'~,~,' I)I~st~Uatl~n, Alterations Electnca1 Contractor-n,,!j.<rk fG~_" , '~o!,Relocatlon: 40Q // .~R':'::Al~;~, ~'." ;,C,,[,oor't;;~':S2~0'0'~"a'hmps or less Address IU. U'<'L ~, ,~. ,. '.ii"" ;~!<:,;,~:iOl!)Jamps to 400 amps Ci ty ~t./r4AlL Phone o88',:;,6L/cJ /OlifiCat40l amps to. 600 amps A ~~ ~Ol amps to 1000 amps Supervisor License Number Lf/'~ 6 ~ Over 1000 amps/volts L^ / 1 /0 I Reconnec t Only Expiration Date v . Constr Contr. Number >>7 - 35(!, . ~ Expiratio Date ~hl.ft J ' if1 . '"' of S"P':~P:J."'ddM Name~;~ ~~~ Address '?:J;).5<2 f,,vV(1't'" One Circuit $ 35\00 Ci ty SIP/IVUt /./1/ Phone '144 -, 9~6 Each Additional '. Circui t or vi th Servi'ce OVNER INSTALLATION or Feeder Permit $ 2.00\\ The installation is being~~r/~n:' E. Hiscellaneou6 (Service/feeder not inc~uded property I ovn which is n~/St~~~~ed . -Each in~tallation ' for sale, lease or rent.lUJtHOA ItSHALL Pump or ir'rigation $ 40.00 \ COM' 1lEDU . EXPIA SignlOu,~line Lighting $ 40.00 \ Ovners Signature: AN 'MENCED 'NDEAtHIS ~/f'i'M:t.!;\cl Energy/Res $ 20.00 Y180DA OAISAB PE11~Iff(lWFf,pergy/comm $ 36.00 _ "'YP~~'" 'DON ISNOr ' U CJ ------:---------~~-A~----5 . 5. ~\JBlWAL OF ABOVE ' / 7 DATE: lV' - ""'\. Ik '5% State Surcharge It. '10 RECEIPT I: l ,.L..~ 1:..1 3% Administrative Fee . r.tO RECEIVED BY: 'f;;1..l.b.Q JL.-'" TOTAL I ~ 7. Cl'I,,) r'l( !alh:JWlng project as submitted has the following lfj'-.u,g and does not require specific land use 225 FIFTH STREET ,',,'v I SPRINGFIELD, OREGOi(~74'71 r~ LO(l.. INSPECTION REQUEST... 726-~~b"J IO-~4~ OFFICE: 726-3159 r"".. . ~ 1. ~A:tI9N OF INSTKLLA"i'I~anatureJ 3. ~ 7.}{'" '<:. fl-!bJOIS A. ELECTRICAL PERMIT APPLICATION City Job Number CjCf/2,o! ~LETE FEE SCHEDULE BELOII Items Cost Sum $85.00 '( 5 I -' $ 15.00 l/S .$ 40.00 $ 50,00 $ 60.00 $100.00 $130.00 $300.00 $.40.00 c. Temporary Services or Feeders Installation. Alteration or Relocation , ~ X $ 40.00 46 $ 55.00 $ 80.00 volts see "B" above 200 amps','o-rless 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits .' Nev, Alteration or Extension Per Panel