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HomeMy WebLinkAboutPermit Electrical 1996-10-14 225 FIFTH STREET , SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 )2/~ W~/~#~<::.... 1. LOCATION OF INSTALLATION IVW f tD(LneJ(/)~ t'.€n+en nl a.Q -+ I1Sf'e() LEGAL DESCRIPTION, JOB DESCRIPTION _ Se.~l!/ce +0 }:e_dr\-euY-;~c. SIa.ncJl , :. 0 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 Con tractor l.ftn -rz... E;l.:ecJ((J C Address 3~CQ.CJ(P C.'e_dcuc..l-I J } ) S Cit;P;'f'~ttl Jl Phone 7a&-Ob'59 Supervisor License Number 349;;( S Expiration Date /0/; /9 ?I , Constr Contr. Number 24/.r; r; q Expiration Date 7/;i!/9'7 Signature of SuperlisingElectricfan ~~~~- , '- '-.) Owners Nanie 07~~,c- ~9 . Address City Phone OVNER INSTALLATION The installation is being made,on property lawn which is not intended for sale, lease or rent. Owners Signa ture: ' --------------------------------------- DATE: It> -IY"9{". RECEIPT #: '~Y~7 RECEIVED BY:. // ~./~~- .-~?y . 3. Ci ty Job Number ~6 /""3":7 '7 COMPLETE 'FEE SCHEDU4E BELOY A. New Residential-Single or Multi~F~mily per dwelling unit. Servi~e Included: Items Cost Sum 1000 sq.ft. or less Each addltional 500 sq. ft or portion thereof Each Manuf'd Home or 'Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. Se~vices or Feed~rs Installation, Alterations or Relocation: 200 amps or less / $ 50.00 50.00 201 amps to 400 amps , $' 60.00 401 amps to 600 amps $lQO.OO 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Ove~401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits - New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permi~ $ 35.00 $ 2.00 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 S 36.00 5. SUBTOTAL OF ABOVE 600000 5% State Surcharge ~~ 2-,'5f:!? TOTAL / . 5C-' ~/~~