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HomeMy WebLinkAboutPermit Electrical 1998-5-6 . SPR.FIELD THIS PERMIT SHALL EXPIRE IF THE WORK .9 C -tJ Z? 2 AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED qlitlt%lI~e~~~~.Qa~mltted has the following 225 FIFTH' STREET ' ANY tBn DA Y ~~and does not require' epectmhgMoINeCAL PERMIT ".{UlPLICATION SPRINGFIELD, OREGON ""97477 - I a;s~r~al. W,V ? 'J V o/() ,",-1"\ INSPECTION REQUEST: 726-3769 Zonl~ I '..- q, ,~ , Ci ty Job Number 0 t7 ( ,.}- OFFICE: 726-3759 '::"'; iJ C . Da.:e " 1. f' COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION ~ i? J ~5V Authorized ~f~ . / LEGAL DESCRIPTION 11 [) r '5~ 4b4(~' (( JOB DESCRIPTION. Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if work is suspended for 180 days. ' 2. CONTRACTOR INSTALLATION ONLY ,B. , Elec trical Con trac torDUldCw1 Gl"DCkJe Address ~61:nlo Ci ty ~ fe5~Jf' It 'W NlQ....-t-Ln Phone ~~~ 64LiO ~~l!-S lO l tlQ g 1{;,U2~qL/ 7It9J[qrn C. Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signjture of ~upervising Electrician ~ ' --~ 0-( I .. am e,,1-( 0 Y\.JJ....O Ii Address 5)(.15 DAisy Ci ty ~f2. Pho'ne OVNER INSTALLATION D. tl(lJ..rY1 on 51 The installation is being made on property I o~n ~hi~h is not intended for sale, lease or rent. E. Owners Signature: . , :~~~~:s;~z;~g~~~f~---:----------- RECEIVED BY: n. /11 0) 0 h NdAJ 5. , U~W f,c.:>lJ<::.u u..c11-'-.)ingle or Multi-Family per d~elling unit. Service Included: Items Cost 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 J' 201 amps, to 400 amps 401 amps to 600 amps 601 am~s to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 jtj().oV $ 60.00 $100.00 $130.00 . $300.00 '.', $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'aT less ~ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above , ,. Ne~, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or ~ith Service or Feeder Permit --L-- $ 2.00 , ;).oV not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 !(]).mT 5. IV ~ () {.:? /IU.)/J/