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HomeMy WebLinkAboutPermit Electrical 1998-6-1 l . bmltted has tM'totk1NIn9 The following prolect as su "Ie land use. zoning, and does not require spec approval. , _ 225 FIFTH STREET Zoning tU_ SPRINGFIELD, OREGON 97 4 7;~";'~"'c;:r-- INSPECTION REQUEST:Oa~~ (\ . OFFI CE : 72 6- 3 7 59 AlIthorl%Sd SIgnature M q() 1.. LOCATION OF~NSTALLATION J507 GeJA. HJ1 Idt'J I3Jvrf, Jif3~~~TION I wBl() ...JOB DESCRIPTI9N .J) / . rree s ~ud/J(di' /I-; /~ ,<)/c19iA- V rf 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 Address City Phone Expiration Date UJr//Cfr/tfK Signature of Supervising Electrician ~ A"~"; (). \ r!/J~ Owners NamL~, 'ioliSti(? ~ Ad~res ,~ &rt-jf{JJ7/oJ Ci t fJlUi, Phone 'l4h.<6tftt . O\li~EL ~S~ALLATION The installation is being made on E. property I own which is not intended for sale, lease or rent. Owners Signature: ~~~E~----~---------n-----iL?~llr~~ 5. RECEIPT #: l rfXLD.A . '-I", \~~ RECEIVED BY: ~ \ l)V{J---. - ELECTRICAL PERMIT APPLICATION _Ci ty Job Number . C ~ pQ, 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular Dwelling Service or Feeder $ 40.00 - D. Branch Circuits ~ , . ~Bt)~servlces or Feeders ~~ ~~ ~stallation, Alterations Electrical Contractor r l1b~D On. ~ ~ -~i Relocation: ~ '7f?~ V~ ~~'" ~~~ ~4PJ? amps or less $ 50.00 , ~~ % ~~amps to 400 amps $ 60.00 ~~ Q l(~PS to. 600 amps $100.00 _ ;() ~.(c6 a to 1000 amps $130.00 Supervisor License Number ) =) t,S~ ~ ~~~~ amps/volts $300.00 - e> ~ cf<')lnlY. $ 40.00 Expiration Date 10 -/-tlt9 . e>Q~. t<- . , , C. Temp~~Y~S~ices or Feeders Constr Contr. Number q'). t,iJr Instal~t:ifg~, ~teration or Relocation , <:1s> V,;. 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 ,. 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 SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 .~ $ $ $ $ 40.00 cY-C!Q ~