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HomeMy WebLinkAboutPermit Electrical 1997-3-5 " I ---- .-.. ........... . fo . , . ,. . orC&1 l1,,1-. -Dtd(,- . -~....~- . Th.... f()r:-~'''in~ _ . . ~,_ .., oJ proJ"ct D;: ~!'b"';' ..... Z'-!: ...f,. e:nd aCES not rGq-u-' ~,~.l_.. r apP(')val. .Iv ..;").._.,~ 225 FIFtB STREET / SI'RINGFIElD, OREGON 97477 Zon;ng_~~ INSI'ECTION REQUEST: 726~376&J)-- q7 - OFFICE: 726-3759 ' Authorized Signcturo~ 3. COHPLETE FEE SCHEDULE IlELOV 1.,~CATION_OF I!!s,T",.I.AlION , .' 7,"1tl ~ A. l~m~EM~#r!o~Eh1otioP&O r~O? JOB DESCRIF'l'ION . -:fAlSTA-li.--f-&m lOR /JKJ/-.iJt5/fJ//(!g-; '/ I Permits are non-transf~rable and expire if york i$ not started'yithin 180 days of issuance or if.york i$ suspe~ed for 180 days. 1000 ~Ct..1.t-,-or .less --:----Each addi Honal 500 sq. ft or portion thereof Each Hanuf'd'Home or Hodular Dvellin~ Service or Feeder 2. CONTRAcrOR INSTALLATION ONLY B. Electrical Contraetor L ,/1. ~1(1f;j;/Iffl, Z(Jc. . Address68 (,{)lFST 't) h ~hee..(:'; { cityS/41.iJ. \ Phone 7'f7.(pC>3'8. Super,visor License Number Ilf 735 loll/in Expiration Date . Cons t r Con u'. Number D3C:iQCj /;J,It~/q7 Expiration Date I Si~at~e of Supervising ~lectrieian .~ / A'~ ./ . Ollners NamekRE/fN /hser714 tJFeoiJ J Address ;'75 StJ, 7DM C1ty~. Phone 345.t.fICfJ OtINER INSTALLATION Ib/Vl PhiLip The installation is being made on property I ovn vhich i$ not intended for sale, lease or rent. . Ovners Signatures - . ~--_._"---------- ~~1~~:~-----~'6'~~'~~~'0 ' RECEIVED BY: , ~_ ..- - .-..." .-.. . '-' ELECTRICAL PERHIT APPLICATIO~ City Job Nwaber q ( n I ((J I ~ Nev Residential-Single or Multi-Fa~ily per dvelling unit. Service Includedl Serviees 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 Items Cost Sum _$ 85.00 $ 15.00 $ 40.00 I $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 - C. Temporary Serviees or Feeders Installation, Alteration or Relocation 200 amps or less I $ 40.00 ~ tJO 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 100v VO.l.ts see "B" above D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Perllit . S 35.00 $ 2.00 E. Hiscellaneous (Service/feeder not Ineluded) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin, $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comlll S- 36.00- : 1o,tJO - cf. {YJ (.-:;In 4~-Jf) .......... ";'. --, . - , . 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL