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HomeMy WebLinkAboutPermit Electrical 1994-12-22 " 225 FIFTH STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 CIty Job Number ~~~ ~~~ OFFICE 726-3759 1. LOCATION OF I~STALLATION 3b5'Q eno~~, LEGAL DESCRIPTION /tZ Y"> 2 .C>tt:,-I''l:.. _ ~;q;;~ r ,JOB DESCRIPTION I UlJ\Jl , .Jt\ 0 PermIts are non-transferable and expIre If work IS not started wIthIn 180 days ~f Issuance or If work IS suspended for 180 days 2. CONTRACTOR INSTALLATION ONLY Electncal Contractor-43f!~ont~ll\ \~1m. Address p. 0 M ,4- g 'J-. , Clt~i\.l'~t;IO~ Phone '741-1-.1.31:0 SuperVIsor LIcense Number lie &b S ExplratlOn Date IO-I-Q5 Constr Contr Number 0:1i2.4Q Expaatlon Date q-l-qS SIgnature of SupervISIng ElectrIcIan (/}.~~dC;-~41-' O~;s. Name ---J.h ~ 4 lXLJ Address 3 b 5q C ru~ ) Clty~~fllid 1 Phone 1:J..b-D5'53 OVNER INSTALLATION The InstallatIon IS beIng made on property I own WhICh IS not Intended for sale, lease or rent. Owners SIgnature --------------------------------------- DATE: 12 -:?,,<""Ty RECEIPT : 1~2~ RECEIVED BY: .....-z~~__ ~ .,:/ ~ 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 Each addItIonal 500 sq ft or portIon thereof Each Manuf'd Home or Modular DwellIng SerVIce or Feeder $ 85.00 $ 15 00 $ 40 00 B. SerVIces or Feeders InstallatIon, AlteratIons or RelocatIon 200 amps or less $ 50 00 201 amps to 400 amps $ 60 00 401 amps to 600 amps $100 00 601 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 Over 401 to 600 amps Over 600 amps or 1000 $ 40 00 $ 55.00 $ 80 00 volts see liB" above D. Branch CIrcuIts New, AlteratIon or ExtensIon Per Panel One Cacul t Each AddItIonal CIrcuIt or WIth SerVIce or Feeder PermIt $ 35 00 .'15,00 $ 2.00 ~ E. MIscellaneous (ServIce/feeder not Included) -Each InstallatIon Pump or IrrIgatIon $ 40 00 SIgn/OutlIne Llghtlng----- $ 40.00 LImIted Energy/Res $ 20 00 LImIted Energy/Comm $ 36 00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% AdmInIstratIve Fee TOTAL "fl'1.00 1.9.;1 J.ll .qq, %