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HomeMy WebLinkAboutPermit Electrical 1997-5-22 1 ile TOI oWlI1g prOje';l 11.. . \.lUll""""'" I zoning, and does not require specific '<'.no use approval. Zonina t V '-- Date( '5,1~ 97477 Authorized Signature tJ h 1\ 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 k9~TION OF INS~kATION . Q ~~~ ~., \'~ (\'\e(\If\\(1 ~ ~ - -..... - \ ~1f~~~~ON[)~~J JOB -rtS~P~ON \l \t \\'~lllif ~:r~ .reQ~non-t :Sfe:~bl~nd ~XPire . if work is not st rted within 180 days of issuance or if work is suspended for 180 days. 1. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor '~j'4r~ AddressJCJ ~ \~8~ry_ City ~~ 0--.. Phone 1\:\ tt3Jl Supervisor License Number \'-o~lo~ Expiration Date \\).\.C\~ Constr Contro Number O?J~A({ Expiration Date CJl.\.CJ\1S Signature of Supervising Electrician ~~t/~ ~e:s Name~~ ~(\r\ah ) Address \~ ~ ~~ ~tW Ci ty \\\.\~0l1~ 1 wPt Phone1JJ{).~'J[; \~\~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: 5"--:<;>....5' ? RECEIPT #: L 5'~ S RECEIVED BY: /' ~~...L . '//- ELECTRICAL PERMIT APPLICATION City:'b Number C\l()':Jl- 3. COMPLETE FEE SCHEDULE BELOY A. 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 ,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 a~p~_ Over 1000 amps/volts Reconnect Only Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 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 D. Branch Circuits New, Alteration or Extension Per Panel .' One Circuit $ 35.00 ~~S Each Additional Circuit or wit~ servi~Cl $ 2.00 '18' . or Feeder PermIt 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 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 Ilo~O 0'lo~ -.~ . :.1~ Idk.01