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HomeMy WebLinkAboutPermit Electrical 1998-7-7 ~ SPRINGFIELD \,)\111, eo~roval , Il 0 /VOn Z InlI ~ ~,,-, 7CJ". on - . ,j18 P. " D8te -1 ,1~qi I1U/f/r" 'tR!vt//s ~ vR',l,:: "/ill" 225 ~ "/l1flv. v UNO C)(PIR, ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 9741!J1r 1Rc; CfOOR 'fIT rHIS 'E:lf:/Hf [}dO 5"-' INSPECTION REQUEST: 726-376'1 O..q y p ISI18. PE:R4t, ~ Job Number -I 1) cA. I OFFICE: 726-3759 E:~/Of) 'ljNOoA, ~rlS M~ 3. 'v'6o>,lIQ,fWFEE SCHEDULE BELOII 1. LOCATION OF INSTALLATI,\JN * I'l. 00 (I, ~ <<--I' )- LEGAL DESCRIPTION /7 ()?., ?-<S'3 40~ 701) JOB DESCRIPTION A1 j..(..0 ,,; hJl ~ Perm1ts are non-transferable and expire lf work 1S not started w,th,n 180 days of 1ssuance 01 1f work 1S suspended for 180 days 2. CONTRACTOR INSTALLATION ONLY Electr1cal Contractor Address C1ty Phone SuperVlsor L1cense Number ,,;ZOO~S Exp>rat10n Date_ dI!!f 10- 9 J?', Constr Contr Number r2 0 - j, '7 R'C- Exp>ratIon Date /0- 9?1 , - SIgnature of SupervIsing ElectrIcIan aJau,u: /: t2/~ owne~Name CJ ~.".-<.A1.. (3<._~",:t Address 1'61lD ('~~...JJ -J:t '-- Clty~+;~ Phone '7:2.(" 50SS O\INER INSTALLATION The Installat10n 1S belng made on property I own Wh1Ch 1S not lntended for sale, lease or rent. Owners SIgnature: DATE~-------1~'7~--Ci-~---------------- RECEIPT 11: '\ ~\o'6'V RECEIVED BY: '-f\LIJ A. New Resldentlal-Slngle or MultI-FamIly per dwellIng SerVIce Included 1000 sq ft. or less Each addItIonal 500 sq ft or portlon thereof Each Manuf'd Home or Modular Dwelling SerVIce or Feeder B. SerVIces or Feeders InstallatIon, AlteratIons or Relocatlon: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 ampslvolts Reconnect Only unlt I terns 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 Relocat10n 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 C>rCUl ts New, AlteratIon or ExtensIon Per Panel One CIrCUI t Each Add1tIonal CIrcuIt or wlth Servlc~ or Feeder PermIt '-1 $ 35.00 ~,- $ 2.00 $I~.- not Included) MIscellaneous (ServIce/feeder -Each lnstallatlon Pump or Irrlgatlon Slgn/Outllne LightIng Llmlted Energy/Res Llmlted Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% AdmInIstratlve Fee TOTAL 40.00 40.00 20.00 36.00 $ $ $ $ ~ -' ,4; ~ fn" ,:l L c:::, '1 .. 57 rit