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HomeMy WebLinkAboutPermit Electrical 1998-12-7 , . :'na, following project as eubmIhd has ths lOnlng, and does not require epecliIc fcng1 uoo 225 W~a p~ET ... . :~~j~~--=~ SPRINGFIEI:ill, OREGON 9.74 7~~.... /, INSPECTION REQUEST: 726-3769' OFFICE: -726-3759 \ '1~~~I 319{YN~'iC~: \ JOB DESCRIPTION r~ Cl ~ . 1000 sq. f t. or less ~ (/ QdA-T- ~ 0 J>, _ r ,,'~ !6"!f!!:!!J SHALL Each addi tional. 500 ~ \f'1 R11fD cXfSB1cU or portlon ~ermi ts are non-transfer~bl~C~I$Jj1~?5'p,i.f.eUlVDcA rH~j;)erftolHc WOb> lf work lS not started Wlthl:I'I./V~.o. da'ysJ OA IS 'E~th'~~~d' dlfme. or of issuance or if work is suspehaed4~~rr' . AHA~~eN~rtD9~~ng , 180 days. A/nO SerlJrteF@R Feeder B. Services or Feeders Installation, Alterations Electrical ContractorC)2 (-?(~-re.LC SJ::::;ev'ce o~ Relocation: Address 00 (Arw ~I 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 ~i ty ~.A"L,A~-,,-.Jl.. Phone&..4~ -(In<;(( 401 amps to 600 amps. $100.00 \ 601 amps to 1000 amps $130.00 Supervisor License Number f..d::/:~.~,....:s Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 Expira tion Da te (n - (- QJ Af:4:.N fOl/o TtQN:O;~IWlffary Services or Feeders Constr Contr. Number. ~~CO I NntiticW~UlesadoPfg~~'Pra~ltlteration or Relocation in OA Si10n Center. y the Ore 0 YO~ ~o Expiration Date~ - Ill- - oc) O.D9D ~952'001.00Z(f61~I@!a~e'!,Ytl"ty S 40.00 c '. OU may obt 2B1h~ tfA~f()~f;Jm1#l $ 55. 00 Sign~re of Supervising ElectrifilWng the Cent ~~ dftb'O~92~s $ 80.00 7 , 0) l? umber for the O~rf)<4!ot&sw'eCf~te~ rt4~sJ6!PO vol ts see "B" above (D t~OLvv ~".CtV CenterJs 1.egon Utili~ ty ItiEhO?e .::-. u. ~''23~~U'J!Cf.atlon ,. Owners Namet..-,On, .~r IA.-.t.JYY\.__(;:)s..o~ ). ~ New, Alteration or Extension Per Panel Address ~-R- . Ci t~\,\lUAA\:" JI A. Phone 7~J - L~M OVNER INStALLATION 1. LOCATION OF INSTALLATION ~~Iq 13EV51?.t ,1../ S. 2. CONTRACTOR INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. lers Signa ture: -----.-------------------\r\---~~.. --- DATE: 'rl-' ~ RECEI~i i: \ \ ,~:.), S RECEIVED BY: t \~JXQv , , . ELECTRICAl; PERMIT APPLIEAT~ Cl t'y_ ~J9~"~~~be.;..~'(\ ~\4~<e ' 3. COMPLETE FEE SCHEDULE BELOV . A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum $ 85.00 S 15.00 S 40.00 One Circuit Each Addi tional Circuit or with Service or Feeder Permit --! J ~ $ 35.00 ~" $ 2.00 ~ lJ-O 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 ~) d--o 5% State Surcharge [ ~~ 3% Administrative Fee I IC TOTAL ~Y %