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HomeMy WebLinkAboutPermit Electrical 1994-11-7 v (!~),' 07,,' ~q 11; 4,) 41~5.o:J 7~0 :JtjtJ~~ SPFD DCV. f)l;lH. / J ~ II . ,,' , Ii If!J(JU ~Uthortzed SidnatiJrEt I 225 FIFTH STREET i SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1 q r .nr.A"'T~N t\J,' TN<;1'ALLATION ( 1. .J-- (p ({) I--H1 ,dI O({.( (21\/ ( /I . .!~~..... A. , ~ I ~E~CRIPTION . A 7\ \. \ U.~ <.~:\\ ) ()(J Rwu IIJ JOB OE~p.:rPTION l _ t !I ~1-t-t-'V1f 114J-e,.. IV!IOCW'1V : Permits are non-transf~rable and!expire if work is not started within 18~ days 'of i"3Uc.nce OJ: if, wvl:k i", -"u""pt:d\h:u !(JL' 180 days.' I I 2. CON'l'RAc:rOR INSTALLATION ONLY Electrical Contracto~~~....Ovd (t1K.c.~Il' Addressp J) . 8e~ c... u.s- I (,;1 t61Er\j jr, IU Phone ~j.., 9r~lf ~J Ol,lperv1~Ql' .l.j o,;~jJ"'t: Nl,lwlJt:~ ?-72-d - s I Expiration Date 10-1':" q~! Constr Contr. Number 2'~ - J 47 ~, Expir-ation Date 10 -kq-q....---1 , I Signature of Supervising Electrician I <( U~Ja.----~ ~ ~ . ~~ i .. : D. Owners Name~fuVI2..c~ C61V<:"7rJ,('>.f~ ' , I Address P,O. 8t)~ S-b I ' ~ 913c,~ I Ci tY'll\\('''''> 6-", to.\c-, Phone 7L(~,').j1 () 2--- , I OVNER INSTALLATION The in~t~ll~tion ;$ b@ing made on E. property I own which is not intended tor sale, lease or rent. , OWners Signature: DATE;--------'T-1 ~i--=-~-~~.. RECElr! if: , 1 _ \ VJ ~~ I ~cr;rnD' nr: ri-. \f--<~""'" I u, '-./'\. i ELECTRICAL PERHIT APPLICA'I'ION City Job Number q4\1DL\ 3. COMPLETE FEE SCHEDULE BELOIT New Residential-Single or Multi-Family per d~elljng unit. Service Included: 1000 sq,ft. or l~ss J:;ach additional 500 sq. ft or portion thereof Each Manuf'dHome or ModUlar Dwelllng Servi~e or,Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 a~ps 601 amps to 1000 amps over 1000 amps/volts Reconnect Only c. Items Cost StUll I j ! I 1 1 ) I I ' 5' () ~t)D - I I I I I Temporary Services or Feeders Installation, Alteration or Relocation 200 amps 201 tllllpS Over 401 Over 600 $ 85.00 $ 15.00 $ 40.00 $ 50;00 s 6n.lJlJ $100.00 $130.00 S3VV.OO $ 40.00 or less $ 40.00 tl) 41)0 amps ... ,.... $,..55,,00 to 600 amps' $ BO.OO amps or 1000 volts see "B" Branch Circuits '!' , I abovel ) , ' , I' New, Alteration or Extension Per Pane~ One Circuit Each Additional C1LcuIL ur wItb ~ervlce orPeederPermit Miscell~ncouz (Service/feeder -Each installation Pump or irrigation Sign/Outline Ligh~ing Limited Energy/Res ' Limi ted -Bnergy/COllllll S. SU~TOTAL OF ABOVE 5% State Surcharge 3% Administ~ative Fee 'J.Vl'AL ! I I not includ~9) I $ 35.00' $ 2.00 $ 40.00 $ 40.00 $20.00 S S6.0Q So.oo i-.",O . ~l,. )'0 : I' I ~