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HomeMy WebLinkAboutPermit Electrical 1997-3-25 .....:~.., .:., . ~;;~;.~;::.Slf.'; :;;~,\';''"~:;;:):~ :;:;~~;;:~; ;;;~~.t .~.~' ".:: ~ ':,~ /~; '" Z(ji~infJ.._ ((' / 225FIFTfI.. STREET -. [)i",t,,-_3::1:..~tJ1 ~ .." ELECTRICAL~PElliiIT . APKLICATION" - SPRINGFIELD. OREGON 974].7Jih(~rk,::.<:y,j Sigj'atur -1J lIA Q'5/8:3/ INSPECTION REQUEST: 126-3769 ' , <3_., -L::..I~ob Number O~PICE: 726-3759 3. COMPLETE FEE SCHEDULE BELO~ "1. LOCATION OF INSTALLATION ~1 06"PH~_A.c::....A.tVT LeGAL DES~P1~N 170~2.1r)()O;( to I Blvd. A. JOB DESCRIPTION 5fR.IJJ&F,'C-L..D 'FIR€- "5TAT/D~~S Permits are non-transferable and expire if vork is not started vithin 180 days of issuance o~ if wo~k is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor SecureCom, Inc Address 1126 Gateway Loop, Suite 122, Ci ty Springfield Phone 988-3585 Supervisor License Number 794JLE Expiration Date 10/01/99 Coost/: Contr. Number3-353CLE New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modolar'Dvelling Service or Feeder $ 40.00 ~. Services or Feeders !nstallation, 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 - Re~onne~t Only Sum $ 50.00 $ 60.00 $100.00 $130.00 $300.00 S 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 10101/97 Signature.of Supervising Electrician ~~~ Owners Name Ciht ofspo ~ Address 225 6.f4tt . ~ Ci ty Sp-n~~oAd Phone~-J.lJlJ,a OYNER fJTALLATION 200 amps.'or less 201 amps to 400 amps Over 401 to 600.amps Over 600 amps or 1000 valis D. Branch Circuits Nev, Alteration or Extension Per Panel S 35.00 One Cil:'cuic Each Additional Circuit Ol:' vith Service 01:" Feeder Permit S 40.00 $ 55.00 $ 80.00 see "Bu above ~,., $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation S 40.00 Sign/Outline Lighting S 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm S 36.00 3~. 0(:) The installation is being mad~ on property I ovn vhich is not intended for sale, lease Or rent. Owners Signature: DATE:,__ 3 -Jf' -t17 . RECElr',1. if: ' '7Sil38'" RECEIVED BY: 14? _ - ,- 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ~~.oc I. SO J. 05 ~~. p,~