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HomeMy WebLinkAboutPermit Electrical 1997-11-24 ::.J'. .....-:.... '.J --r-- . . SP.GFIELD ~"LlJ;f:Jt~~-. . . r:o~c~. AllIhorl%<>Cl Slgn8IUre:....:..1}JV1 .' ... -'~' ~P~Iy4f/' Cl '10.9, ,,. .s. 225 FIFTH STREET ..A....?4f4fS r.?~D J. 'It"lq, ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 9/~'1' ~CS </t1ta ~-tA . INSPECTION REQUEST: 726-~-4 DOIy ~1y,.1,! ~~/,(' City Job Number 9"705-?.y OFFICE: 726-3759 ~ YPS /81.<> V8p~ rl,!~ " ~/Q Q'''I~ 3:-"1il E FEE SCHEDULE BELO\I 1. LOCATION OF INjiALLATlJ)N ~ VOt1tS ~~/8: ~ I~;J "'/4 .5'7. . A.D~~id~ntial-Single,or , . ~Ultl-Famlly per dvelllng unlt. Service Included: / -rtJtS>~(W~J>1,(t?D I JOB DESCRIPTION . fu/t..r lit! (l/fC<<tf//YJ \. Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 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. 'Ovelling' Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders hi 1:.;1 ...J.I Installation, Alterations Electrical Contractor(!',,!AlrMrC, Jl"'lflp I'&~r Relocation: tJ ~ . -"'-'fp Address ~cO( ~~~ . 200 amps or less /7) LJ "'" ". , 201 amps to 400 amps City I ~'t r~aJt:-a--Phone S''t6'''7-?5t/ 401 amps to. 600 amps - . . 601 amps to 1000 amps Supervisor License Number Over 1000 amps/volts Reconnect Only Expiration Date Constr Contr. Number rJL'Y' '1 f?(J Expiration Date /1/';fIL /'19F' Sign~ ::p~l~ctrician Ovners Name ~~ ~ Address 3'1 f ~ 1); l\.<UJ- {2.c-...-fl- City,,&'Y >' . Phone 34'5'" - 4t '1; OIINER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent, Ovner~~ignature: - ------------------- ------- DATE: .,:}U ~<p~h.a.t- , '1"'1 7 RECEIPT t: 2~:.) RECEIVED BY: $ 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 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above .' Nev, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. $ 40.00 -S 40.00_ // $ 20.00 ..J.-J) DO $ 36.00 . :20.00 it /,-- ~ .<..-a fI ~I . (...b 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL