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HomeMy WebLinkAboutPermit Electrical 1997-4-1 " -- SP._.....CFIELO , <'ubmYltfld hr.a thr' Y0'!owin! The following proJec\ a:q<>Ui":a' SD:;;~;::C !::'l.U L'(,i) zoning. and does no r . t- 225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning Ul)tl q 7 n' J C I INSPEctION REQUEST: 726-3769 I Cr-'1 ' . Ci ty Job Number '-"I ~ OFFICB: 726-3759 ' Dale_4=:- - I 1- , ' A"jhmized Signature_bJ. ~COHP-LE~E-F'EE SCHEDULE BELOY 1. LO" CATION OF WSTALIrATION 17 2?x\ (d. \"-ent-CYlYlI'OV A. Ne\l Residential-Single or - v ' Multi-Family per d\lelling unit. Service Included: /LFfof'5eBfCflltJ 10 1 () 0 JOJ}/DESc,RI~ION .N ~ar rurrO Permits are non-transferable and expire if \lork is not started\lithin 180 days of issuance or if \lork is suspended for 180 days. I i. 2. CONTRACTOR .INSTALLATION ONLY . ,. Electrical Contractor BUILDERS Address ~Qi MONROE (qS Uadl~fl') Ci ty ElJGENE Phone 485-0922 Supervisor License Number ?g70S Expira tion Date 10/l/9E Constr Con tr. Number 04296' ~{.. .. Expi'ration 'Date 12/10/~'7_ Sign(1Z1~u~ctric:'"') O\lners lame 1S " \ \ ,==- Y'C('Le'-.. ... W. Cen1mr),.C07~ Address Z ~ Ci ty c.;p~)cl Phone OVNER INSTALLATION The installatiohis beirig made on property I O\ln \lhich is not intended for sale, lease or rent. Owners Signature: . fi~~~L[JTr~J::~~----------------- RECEIVED BY: Cl. Viii ,./L ' , . , 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof , Each Manuf'd Home or Modular D\lelling Service or Feeder 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 C. . Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 '$130.00 $300.00 - $ 40.00 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 D. Branch Circuits $ 40.00 $ 55~00 $ 80.00 volts see "B" above Ne\l, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circui~ Each Additional Circuit or \lith Service or Feeder Permit I E. 5. SUBTOTAL OF ABOVE 5% State Su~harge ' ~ ';:;.'C.( D - J4dfJ,;f'\ -rO-taL $ 35.00 35.00 $ 2.00 7 . DO not included) ,$ 40.00 $ 40.00 $ 20.00 $ 36.00 ~7-.CD I .'t~ } - i I 3Cf-Cf(p