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HomeMy WebLinkAboutPermit Electrical 1997-5-8 225 FIFTH STREET ' SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Zonin9_ (. V____. 97477Df.:te C;,. C~ 726-3769 rJ K Authorized Signature 1. LOCATION OR INSTALLATION' . c.)CS'!f~\^-/--;-e~NNNN+At. - ,., ..,.,- ,._-" ." , / ~~, , ",-' ,/G7o~ST-7If~ nSfOO , A. _.......~~ JOB DESCRIPTION iYJS-lA II ..5eC~1 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ELECTRICAL PERMIT APPLICATION Ci ty J.ob Number q'7 () S -:::r '7- 3. COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Items Cost Sum $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. ,Services or Feeders Installation, Alterations Electrical ContractorSonitrol Security or Relocation:' Address P.O. Box 21009 Ci ty Euuene Phone 461-5678 Supervisor License Number /!t?~qA?c:'- Expiration Date /{) - / - q 9 Constr Contr. Number 65149 Expiration Date ,7-2000 Si~g Electrician Owners Nanie~~..lu(:. .'I://cgr?" Add res sj~ $-~~~" ,._~~~M~~).Jx}~'-~b '~) ,Ci ty?- ~C;fn1J{)eld Phonl~~ls\i)L'b~~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~E~-~~~~t~~-~--------~-~--~- RECEIPT #:' I. C) ). t=; Co S'1 RECEIVED BY:. -A ~ Ih ,/ /L -, , ...... 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 Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 360-0 I , ."3to.o-o /8D IDg- ~'-=? g ft