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HomeMy WebLinkAboutPermit Electrical 1994-10-21 (2) 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LCCNI2)A: J(l\STALLAfI'ION;; C..J\ ( \'r'\ ~ T .,0 I J!it>G~~ON J4 100 _fl J9JlID~S~PTIQl!-." 01 lAA...l...:L! J 17\ .J 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 Electrical Contractor /(i rid E(~civj"c.. Address ~ 0 &)lJ)(' I Olo I Ci ty 5~(-T'^J f -cld Phone lLJo -13D~ Supervisor License Number -Z-~,I:S Expiration Date fo I, Jqc) Constr Contr. Number ~5{P61 Expiration Date ~ h--~ I q /p---:) The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~ATE~-------------~\5~~'~(\~-------- RECEIPT #: \ \ J.. \~\,\A RECEIVED BY: 7^>~ ~ J\ t ' ELECTRICAL PERMIT APP~~ATION City Job Number q~/412- ,- 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00. Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Ser~ice or Feeder $ 40.00 B. 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 ~ 5 tJtJ $ 35.00 J :". ad $ 2.00 01 One Circui t Each Additional Circuit or with Service or Feeder Permi t L E. . Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~?aJ I. H "\ I II 3 q .f! 0