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HomeMy WebLinkAboutPermit Electrical 1997-2-19 ~ The following project as submitted has thE.1 following zcninp. and'doss not require epecific lond u()e <:;(..'r:ro;:al. Zcnin-a tv 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97O:Y'7Z-=:-J.5--*:q 1-2-6'1!:>.3'l/i(ij:93ignature 1. LOCATION OF INSTALLATION L1d2o C!J /Y1 !:roh n l o.L,~ ~ Jd r~ ~~l!ONn'-W!Jt JOB DESCRIPTION !/..)11 ~ J ,,<)1. or) Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contI:actor~Orlr^" ~Y1)CS~ Address 3/ (d5 r~c:._L;JL sk--S E.. Ci ty~ PhonelJB - 3(, <f.-d)/l Supervisor License Number 3'1'1 S I Co IO....OI-'tCJ Expiration Date Constr Contr. Number h.LJ -l~ I Expiration Date :311 \ gl S.igna~r~~ing Electrician ~'<(~ ' QMneU (f.\dd ress .pi ty Phone OVNER INSTALLATION m~ installation is being made on prQP~rty I ovn vhich is not intended t~i,~~le, lease or ren t. @;\m~:I:~:~ignature: :~ATE~~~-~qlq-lt-~~~-:~;-------------- rRECEIPT #: U).;1" \J/ j i . . :RECEIVED BY: ~U1o/ NM ELECTRICAL PERMIT APPLICATION Q1tJVll City Job Number 3. COMPLETE FEE SCHEDULE BELOY A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or HodularDvelling Service or Feeder $ 85.00 $ 15.00 $ 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 amp~~r less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00... Over 600 amps or 1000 volts see'iB" above D. Branch Circuits " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation ~butline Lighting Limited Energy/Res Limited Energy/Comm not'included) 5. $ 40.00 v-~ 40.00 $ 20.00 $ 36.00 .l/cJ.~ / :2. ~ /. .;20 ..<I. '3. ciL (;' . 1 "-It). <7.!- SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL