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HomeMy WebLinkAboutPermit Electrical 1998-1-29 I)'A..", <~~ r.-<-' '- -', ,""c.l'Tng Oject llll GUbmItted has Iho zonll1q, and not require............ ...._~ loIb.~og appTolfal. ...,...-..- lurN uco Zoninp C. G ELECTRICAL PERMIT APPLICATION 9~~~~i6f0 "q j Authorized SIgnature n ~ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REOUEST: OFFICE: 726-3759 1. LOCATIONr?OF,4NST~LATION 7315 H. U LEGAL DESCRIPTION /7"'ri?~'~5"Y<_,<I1}?"'5'~ , JOB DESCRIPTION UvU ~ t/ r/ Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor ~ ~ ;' Address 10 f Z- ~ \.::: t...- Ci ty L:/~ Phone lzr ~/5 tlV Supervisor License Number 7cf'5 S 12-/ ~ Constr Contr. Number t.3/37 lo/9R' Expiration Date Expiration Date Signat~upe;;;;ing~ (I fJ.' . D. O~ners Name ~ ~~~ Address ~/A /0# 0/ , Ci tyo ~ ~)"t. Phone '7 "2~../::2,/6 OVNER INSTALLATION The installation is being made on property I o~n ~hich is not intended for sale, lease or rent, Ovners Signature: --------------------------------------- DATE:. J~'?~,<9~ RECEIPT II: 2~~ RECEIVED BY: ~~..;.. "':l '/-1- :;h.- City Job Number ~. "\JlIr~EE SCHEDULE cr7/~y"'J- BELOII A. Ne~ Residential-Single or Multi-Family per d~elling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or ModularD~elling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 v-- $ 50.00 ~....I? $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C, Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits .' Ne~, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or ~ith Service or Feeder Permit ~ $ 2.00 /72 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 3% Administrative Fee TOTAL ~2 .-1> ~. /~ L"~~ ~. .9~