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HomeMy WebLinkAboutPermit Electrical 1995-12-22 225 FIFTH STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 Ci ty Job Number 4~c::><- OFFICE: 726-3759 1. Lftlr.ON OF .)NSTI}LLATION I I C?orl;nv;j(LocJA? A. ~GAL:gfsb!Iitrf;~IJ!{l1!f1c(77 C ~/Yl f'~( ,.( I () +b4 1?70 -;>-":f:2- 2,C>~ e? ~ . J~ DESCRIPTION C' (;....UM/Y1I..Jc.u..."( J{'clJl--/ ~ *(h-"'l 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 .B. Electrical contractor---.tt.A:A- A/t,'rYhG Address -;, 1. flu w-A-r , Ci ty C ut,.I/l ( Phone_f'o '1{ - jd!fJ .I Supervisor License Number 1l./-;)0 ? (' l.t: ) b/;/CJk Constr Conn. Number q ] JqB. / J/CJL Expiration Date Expiration Date S~~~~:ing Electrician Owners Name~[) ~ rlllrr/.a.f:." rD Address_'? /1./ (:;../tl' lk<lyLJif/ Ci ty fry Y//I, f;"iJphone 1Lf /'-' llS.ru OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, ovn~atu20/~ ---~-~77j-------------------------- OATE, -J ~q <: RECEIPT 11:. - / /~ ~- RECEIVED BY: ~~--...,...:2- ..... 3. COMPL&TE FEE SCHEDULE BELOY New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t 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 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 $ 50,00 $ 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 $ 40,00 $ 55,00 $ 80,00 see "B" above D. Branch Circuits .' New, Alteration or Extension Per Panel One Circuit Each Add i ti onal Circuit or with Service or Feeder Permit $ 35,00 $ 2,00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm not included) 5. $ $ $ , $ 36,00 1[.1~; _ 9, $'~ ~D 40,00 40,00 20,00 SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL