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HomeMy WebLinkAboutPermit Electrical 1996-2-26 . . . Zoning (il e..- 225 FIFTH STREET O"t.~::2 - 1_ SPRINGFIELD, OREGON 97477 ~ INSPECTION REQUEST: 726-37b9'lori;: SigI1d1Jnl c..., D OFFICE: 726-3759 -- \ 3. COMPLETE FEE SCHEDULE BELOV .~ 1. LOCATION OF INSTALLATION ""9lJ --r:\J.c:,ui2At..\(~ III \ hotr.wQj~ \~~1\~ JOB DESCRIPTION InS\-t:\\ '.1 Illr)"l"nc..\-<.rl mulh"-SidW ~f-GC.:::>\-c;.()JI0') ::,\'{) Permits are non-transferaole and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor F.c,tA. .1'tJc.. Address 1210 ()A \c ()A IGI-I t<.D Ci ty ~U~:{,flL Phone L.jRS-~U(P Supervisor Licensf' Number 5'1 D 5 I b ( 10' , """Q'l'': Expiration Date .:"".1'-' W Constr Contr. Number_, \ jU'20c.:. Expiration Date '1.../'1.- q, Signature of Supervisirig Electrician aj~txjlvA/ Owners Name 'l\PD SNSUQAIJCE' .TIJL , Address 3171 G:.A'lElJAj GoeP Ci ty :Sor\(Vr"'(,\c:A Phone 7t.FJ/-osrD -...J OVNER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent, Owners Signature: -------------------~~~r~~- --------- DATE: I g;;un . RECEIPT 11:_1) _" . RECEIVED BY: ~_) , ELECTRICAL PERMIT APPLICATION City Job Number C\ :i)\O~ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cost 1000 sq,ft. or less Each additional 500 sq, ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 $ 85.00 $ 15.00 $ 40,00 $ 50,00 S 60,00 $100,00 $130.00 $300,00 $ 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 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00' see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting \ . Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 no t included) $ $ $ $ 4Q{P AlVJ ~ 40,00 40.00 20.00 36.00 ~