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HomeMy WebLinkAboutPermit Electrical 1997-12-11 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 lLv- tZ,.---l.1 ~~i 97.47-7-.. "~"""1iI n M 72'6~?//69'';''u"" . 1. LOCAT.IgN OF INSTALLATION /t5S-~ CA'API-C. <)''T. LEGAL DESCRIPTION -17JO~ L.L ?-.~ -- 1 JOB DESCRIPTION <I F", ....e~~ _ _ , " r 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 ONLY B. Electrical Contractor ff3s e CCfJ.--~ Addres's5t7t:J /-b Duu ~N -- ~ City J:;~.e/V-e Phone h5-t-tJ9tJ-5' Supervisor Cicense Number ~~~~ Expiration Date C?~~C?~~~ r Constr Contr. Number, "';:;;-41t?i?/ Expiration Date 9' //6/ 9'R" / &- Signat~~trician Owners Name ~--+.~ Celx;{ ;- Address City Phone$I-~67 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ~~T~~------)-):;;/~~-;---------------- RECEIPT #: 2. ca.~_ ") Ql~ ur.rL'TUVn nv. ELECTRICAL PERMIT APPLICATION ctty Job Number 97/~3 5' 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Sum 1000 sq. ft. or less L-- $ 85.00 ~S~ Each additional 500 sq. ft or portion ~~ thereof ? - 'S 15.00 Each Hanuf'd Home. or Modular 'Dwelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 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 $ 50.00 $ 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 " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee ~A"""'~ T not included) 40: O(J' 40.00 20.00 36.00 $ $ $ $ 12LJ~ . - ~',R) g ~<> J47J.~O