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HomeMy WebLinkAboutPermit Electrical 1998-3-2 Zoning Date~qi , ~O~Y-. . - 225 FIFTH STREET Authorized Signature .r1 YY1 . ,~~~IT APPLICATION SPRINGFIELD, OREGON 974 77 t1f\C~' ~\.. 'i;.'f...'< 'i;.~~~ QS. INSPECTION REQUEST: 726-3769 ~O\ ~~\~ <o~~ ~~~~Pt?y ~eb~ber / ( 0/7 Y OFFICE: 726-3759 ~<O?€ \)~~U\-d'r~~\)O ' ~~ r\~O~\lY::\) 'QW~J.D FEE SCHEDULE BELOV 1. ~O~ATIO~..=pF INSTALLA. TION ~IJ ~.\J,\) \()\). 'rS t 2- f.:} f5.LTLI/-Je ".()~W\€A. !\~~~Residential-Single or - ~'-{ \'&\} \): Multi-Family per di:7elling uni t. ~~. Service Included: Items I" ,. " LJ LEGAL, DE~qQ:PTION I r. 0 I 70 < J" ()OD J-yO JOB DESCRIPTION T e NIT,A...J! .:...t- j4/7?f-<. 2> V'f_j~--? e~ Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or ModularD~elling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders Installation, Alterations Electrical Contractor-.:r:JvFf/Vrn: Ec..cct,f'l<", or Relocation: Addres~33;;2=< Nc,~suA..J ~.o,. Ci tyjJ~USd ~(t"'/.e Phone 563-.;20 '1 ~SJ 3 IA/ f1 .. Supervisor License Number :2&R'),. r1 Expiration Date 16/Q$' Constr Contr. Number 37-(O(P'T--c. Expiration Date jtJ II/fit? / / Signature of Supervising Electrician tfJ- ~~. O~" Name SU_(lfi/jr\ ~. ('Ocr. Address 3L/n1! &M{J 0~{J Ci ty cyrf hZ&' d t1 Phonei!;Llr.z - '1L/L{ tf OVNER I STALLATION The installation is being made on property I o~n. ~hich is not intended for sale, lease or rent. Owners Signature: . ~~~::-:~~~~~-----~----------~ RECEIVED BY:- LA ( ~ VL-- 200 amps or less / 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/vol ts . Reconnect Only Cost Sum $ 85.00 $ 15.00 $ 40.00 5 c)0 $ 50.00 D- $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps .to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above ,. Ne~, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm. One Circuit Each Additional Circuitor~ith Service or Feeder Permit ~ E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 /0 _ow $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 to()~ -;]00 /~ -?~ ~ ~