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HomeMy WebLinkAboutPermit Electrical 1998-3-13 leloll >ning, )prov , ..~lL . [jLU';9 ;J~N-' r .uthorized Signature. ~ '" iJ::- l' 8 6 0 ? B \~~ ~o~'(... - 225 FIFTH STREET ~ ~~CAW \~~i~T APPLICATION SPRINGFIELD, OREGON 974 77 ~O~\C. S~~\..\.. S ~~~\ol\\ \ ~ q (t. D 7 (' / INSPECTION REQUEST: 726-3769 CO?~~~\\ \\~O~W1~ .J~~D~er X 0 0 OFFICE: 726-3759 \~~ nP.\t~O~'-n~~~~~U' ' ~\J\~~: €e~l'1:1:E FEE SCHEDULE BELOV ~\l\~~C t;.~\OO. A6t.&~ A~~~~l\eSidential-Single or ~'( '\ Mul t i-Family per diirelling uni t. Service Included: LOCATION OF INSTALLATION It 1... 9) j;-~ 2 9..3 1. /7o:13S[f)BjO!:o't Items Cost Sum $ 85.00 rS,60 $ 15.00 IJ5 .00 $ 40.00 I 3 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling , Service or Feeder JOB DESCRIPTION N'~ Iv' ~ /J 1.Jd TJ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLYB. Electrical Contractor r ~;,/ f/,.;:/Vl-~0 Services or Feeders Installation, Alterations or Relocation: Address p 1/, g~y. ?~S- Ci ty -.L..../' ., '5' ~-e-,J Phone 94L- Z $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only 2 26 8 Supervisor License Number, /8/-< /d///?/1 - ~c, (; Constr Contr. Number ;j /7~~1 k/~~/9P e' I Expiration Date Temporary Services or Feeders Installation, Alteration or Relocation C. $ 40.00 $ 55.00 $ 80.00 see "B" above 200 amps':oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Expiration Date Signature of Supervising Electrician ~, &L///~,-- / - .6 . I ~ . A CJc;j/ D. Owners Name J JL-v- 1 {J ((')1 () (f(j4h Address 307St;; ~((; (OY~/fLA Ci ty CDttt1ClP ~ U/tVLPhone!iLL! l--lfSQ\{ OWER I&STALLATION Branch Circuits ,. New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or' Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump. or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE I ~ OJ oQ 5% State Surcharge (tJ ,~_U ' 3% Administrative Fee '/.1 (j TOTAL / I/O, flo The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~A~~~---~;tj~;t~~~=-~---------------~ RECEIPT #:1' '.. ()el-<-!OK\" RECEIVED BY: )"'\ ~nl"r .{A~~ '-