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Permit Electrical 1996-7-23
~. -~, " , , ZO~in~, ~~i~~~~~j~~~ ::~~:s~:~'f~f~~~ ~~~owjn approval, . ' . ZOnln<;lf\-~ Dale~1J'~ 1.ee' 225 FIFTH STREET : ' SPRINGFIELD, OREGON, 97/f17'1orlzed Signat!Jre 1l/) IN~PECTION REQUEST: "726-3769 OFFICE: 726-3759 . . 1. 'L()CP.~" O~A,~N~i~,L.{\;rION . ~40L-::;. ~aj(;l~ ..W/O...U ut'.P1e_ -n,fA~1'&m~catJli~.~f:. , ~ 11 ' 'l1M\ JOB DESCRIPTION I~ 03. dd- COO fL!Y' 'Permits are non-transferable and expire if work i~notstarted within 180 days of issuance or' if work is suspended for . 180 diys. . .2. . CONTRACTQR INSTALLATION ONLY ,B. Electrical contractorUve~Ml QQEhb1\c~, , Address ~-O(' .hx. S~((;,6 ' . ,'. Ci ty 0&ff, . . P'hone ~ rClo?8 . Supervisor License Number \Dtgz.-.RE-t- Expiration Date'4.!Q7 , I ' ,Cons t r (:on tr.. Number q Y? L 4-C;- Expiration Dat~ ,---,{ /C(7 !ll1/fApe 'isin 2:~\i: Owners Name('FA1J() COO, ./ Address~O'S. '~\~~ ~\~~ ~~, Ci tySQV Phon e[0 (0.; 8el 44 ' ' . .D. OVNEI( INSTALLATION Th~.installation is being made on property I ow~'which is not intended for sale, lease or rent. Owners Signature: DATE~~~-~~~-crc;~------------------ RECEIPT #:. ("")"2 2 ~. , .. , RECEIVED BY: f'. rrr~Ck1C(cL() ELEcTIuCAL PERMIT APPLICATION l-J. Lj Job Number.. q (17 0 (q 2s' Lf 3. COMPLETE FEE-SCHEDULE BELOV , A. New kesidential-Single'oi . Multi-Family per dwelling unit. Service Included: I \. Items ,Cost Sum 1000 sq.ft.or less $ 85.00 Each additional 500 sq.' ft or portion , thereof, $ 15.00 Each Man'uf'd Home. or Modular Dwellihg Ser~ice or' Fe~der $ 40~00 Services ot Feeders . . Installation, Alterations or Relocation: 200 amps or less 201 ampi to 400 ~mps ~d1'amps to 600 amp~ ,601 amps to 1000'amps Ov'er 1000 amps/vol ts Reconnect Onli $ 50.00 S 60.00 $100.00 S130.00. S300.00 ,S'40.00. C. Temporary Services or Feeders Installation, Alteration or Relocation . . . 200amps"o-i:- less $ 40.00 201 amps to 400 amps $ 55.00 Over 401. to 600 amps $ 80.00, Over 600 amps or 1000 volts see "B" above Branch Circuits , ' ,. New, Alterati6n or Extension Per Panel ,One Circuit Each Additional' -Circuit 'or with ~ervice or' Feeder Permit $ 35.00 $ 2.00 . . E. . Misc.ellaneous (Service/feeder -Each installation ' Pump or irrigation : Sign/Outline Lighting Limit~dEhergy/Res . Limited Energy/Comm not included) ~ $ $ $ $ ''SG.6V 1 .)fO '.06 -3 k" ~ X' 8:: 40.00 40.00 20.00 36.00 Jr" CYP ~~,-,- - 5. SUBTOTAL OF ABOVE 5%' State Surcharge 3% Administrative Fee TOTAL