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HomeMy WebLinkAboutPermit Electrical 1999-8-27 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPEctION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION Z So /1- LEGAL DESCRIFTION . (7b'3 353'2.. 1)2700. JOB DESCRIPTlpN ? Cr/Z.c.... (fs Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, ! 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor R~Yro]J~ r:; I e<J'(,C Address ;>...11 r LA) "2...J City lS(lS'..he. Phone '3,1.('::,'" 72. c17 Supervisor License Number 1-<;'20 5 10/0//0\ Expiration Date .. Constr Contr, Number 20 -' f55 C, lO/OI/erG( Expiration Date , Signature of Supervising Electrician ..,~~ owneaame )A J, Address ;J..$o ;J A- 7'f'f- {,3;J..1 City ~ Phone OVNER INSTALLATION The installation is beirig made on property I own which is not intended for sale, lease or rent, Owners Signature: DATE~~~-~~:7-~tr-7----------------- RECEI PT .: (\ '2, 'S. ." :-, '('. . RECEIvED BY:.n - intu'.41t1-d () .."..-.. '. . . . ----- ELECTRICAL PERMIT APPLICATION . Ci ty Job Number '7 'j / I 7 J 3. COMPLETE FEE SCHEDULE BELOII A. New Residential-Single or Multi-Family per dwelling unit, Service Included: Items Cost Sum 1000 sq.ft, or less $ 85.00 Each additional 500 sq, ft or port i on thereof $ 15,00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. 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 $ 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 New, Alteration or Extension Per Panel One Circuit I Each Addi tional Circuit or with Service or Feeder Permit I E, Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res ----- Limited Energy/Comm 5, SUBTOTAL OF ABOVE 7;5% State Surcharge . TOTAL . $ 35,00 1> $ 2,00 2- not included) $ 40.00 $ 40.00 $ 20,00 $ 36,00 :$ 7 .::TV ., :z .5'j (. I I 'fo,7u