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HomeMy WebLinkAboutPermit Electrical 1997-2-28 (2) 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ~};:~t;~~;k~I~:_~~~,~';;()'-~~\ ~;- ~ .~~ ;'~."::'. I; ~;:".".iJL IJ..~ , :Z~n;""d.__:t:'J- . "l . 9~i~j3769'L::2'3--,"-q7 ." 'I-.\r\-......: 81r;:;r:.~U;~_W I-\U. Iv. 11'-"_ '" . 3. 10 LOCATION OF INSTALLATION 1'29! ~5-~?'-~.~ ~=/ LEGAL DESCRIPTION fJ-P3.~S~~t!PP/~ '" JOB .DESC!!!PTION ~_ ..4,. . C/&;:?7"' g!/A'W'C~ ~-!//A-A'Vr ~rn~i:!E";'.. . .. .r.;. / . Pe{mi'ts are non-transferable and expire if.~ork is not started within 180 days of.issuance or if work is suspended for 180 days. 2, CONTRACTOR INSTALLATION ONLY .B. Electrical Contractor-JkG Elct..G-tric:. he- Address LA!; '7 Uo,\ St re.e.. 1"" Ci ty <;(.)t: I d Phone J4-l.,,-tj '" S-c. ~IL/--'?S' lD- \ ~ CO Constr Contr. Number 4-5\"2-"1 -+ h-<-l J Cj "I SuperVisor License Number ExpiiB t ion Da te Exp1l:a don Da te . Sigttatu~e' of supervis}g Electdcian 9r'mJrJlJth t ..&1Jl O~ . . Owners Name $Y~ V . '. // 1 Adcire~:-./2'5'/ .oe:..~ _~ ' ci ty':(~ . Phone ~t/~ -/2~~ OIlNER INSTALLATION The installation is being made on property 1 owh whi~h Is not intended .for s!,.lel..lease or. rent. . Ovners' Signa ture: ---------------------------------------' DATE! . RECEIPT 11: RECE!VtD BY: ?-~g--rJ '/ <,I r-'-'" ..., ',* --~. r ... __~ .h. . Sl.UING.f'IELU .'t El.ECTRICAL PERMIT APPLICATION Ci ty :;lob Number q 7~3/ / COHI'LETE FEE SCHEDULE BELOII A. New Residential-Single or Multi-Family per dwellin~ unit. Service Included: It ems Cos t Sum 1000 sq.ft. or less Each add it ional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular .Dwelling Service or Feeder S 85.00 S 15.00 "2 S 40.00 Sc::;:. 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 S 50.00 S 60.00 $100.00 $130,00 $JOO.OO . . $ 40.00 C. Temporlry Servjces or Feeder~ Installation, Alteration or Relocation 200 amps. 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 S 55.00 $ 80.00 see "B" above D. Branch Circuits " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting- $.40.00 Limited Energy/Res $ 20.00 . Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ~. ~ 5% State Surcharge St',-e;> 3% Adminis tra t i ve Fee :;> . '?0 TOTAL g c:::.. '7"'.0