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HomeMy WebLinkAboutPermit Electrical 1996-1-18 . j{={ ct as SUUII""-- d The to\1CWlng proJe ot require 5pecrilC \en use L.omng, and does n ~wroval L r\ (L... Zomng_ ~I Do\"_ \ - \5 J1. ~ 97477 ".rti'onz&d Slgnature_ I 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. ~OCATION OF INSTALLATION ..--L1./-<31 (lorn-TOIY\ m\ n ~ \ I LEGAL DESCRIPTION ,03 dS 33- I I z.(J7) JOB DESCRIPTION ,. ~1\n\j.Q ~ (l '\'\1\r:n..l\Q.> -r :J... (11 fU\llltKl) !J Permlts are non-transferable and explre lf work lS not started wlthln 180 days of lssuance or lf work lS suspended for 180 days ,c 2. CONTRACTOR INSTALLATION ONLY B. E1ectnca1 Contractor c,~~~ PDo"t~j1--4-~ Address P.O, fuJ, ,tLgd-, . I CltY~r\J~~f~d. \, Supervlsor Llcense Number Explratlon Date Phone '74' 1-1-.13lc Ih2bS 10-1-%' DJJ g4q q -I-HJ Constr Contr. Number Explratlon Date Slgnature of Supervlslng Electrlclan aA~~a.~ Owners Name (\ t b ~rU: ;:rJ'U'iil\~ ~ ."iYU- Address...Li11 (lo [1'\.-to \Y\rYIII'l ~ ) Cl ty~~rL Phone 1'J..b - 0 b-tn O~ INf+ALLATION The lnstallatlon lS belng made on property I own WhlCh lS not lntended for sale, lease or rent Qvners Slgnature: -----------~--------------------------- DATE: I~ I 0":- q (/1_ RECEIFT #: Ud----() /I U lJT'f"VTlron RY. \L \ ... dV\ At ,H-~/) ELECTRICAL PERMIT APPLICATION Clty Job Number y, (0 rm7C 3, COMPLETE FEE SCHEDULE BELO\I A, New Resldentlal-Slng1e or Multl-Famlly per dwelllng unlt SerVlce Included Items Cost Sum 1000 sq ft or less Each addltlonal 500 sq. ft or portlon thereof Each Manuf'd Home or Modular Dwelllng Servlce or Feeder $ 85.00 $ 15.00 $ 40 00 SerVlces or Feeders Instal1atlon, Alteratlons or Re10ca tlOno 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 5'0,00 $ 60.00 $100 00 $130.00 $300.00 $ 40.00 C, Temporary Servlces or Feeders Instal1atlon, Alteratlon or Relocatlon 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Clrcul ts New, Alteratlon or Extenslon Per Panel One CHCUl t Each Addltlonal Clrcult or wIth Servlce or Feeder Permlt ~ $ 35 00 $ 2 00 ~ OD E. Mlscellaneous (Servlce/feeder not'lncluded) -Each lnstallatlon Pump or lrrlgatlon $ 40 00 Slgn/Outllne Llghtlng $ 40 00 Llmlted Energy/Res $ 20.00 Llmlted Energy/Comm $ 36,00 5. SUBTOTAL OF ABOVE 54, DO 5% State Surcharge :i-. '"It) 3% Admlnlstratlve Fee I ,_6\, , 00"-' TOTAL ." <;I . ",' 'L.>