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HomeMy WebLinkAboutPermit Electrical 1996-10-10 . . SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 9ttfyiZed Signature 726-3769 1. LOCATION OF INSTALLATION __ -_ -_.'-~c_ ~".',7'o5 T2:>i'-R\~41, J LEGAL DESCRIPTION IP/ O~ n-?- /Y/ f3(>1- JOB DESCRIPTION ~l3,..cJ..IJN<: 1="n.... P*"<le. f..,{NK Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address Ci ty Phone Supervisor License Number ~t>~ ~ Expi ra t ion Da te II)- 1-'11'> Constr Contr. Number "l-A Expiration Date I'UA Signature of Supervising Electrician ~V.~U/ Owners NameIJ:J:ft........(Au ~,../Ct l,. D(<t. Address bf3t> 1).36-1'1-1 Ci ty <;}'PtNt:Ff11I" Phone 72.6 -~~/) OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. O'J))ers Signature: Cb//l(d!J /J, ~/ -------7\------------------------------- DATE:lU ~ /()- 7y, RECEIPT #: LJ d.J '-/ rl- '7 . RECEIVED BY: /}. p'yjr:::)C/7cJCZU fJM. ELECTRICAL PERMIT APPLICATION City Job Number ~ {O r S 7Cc, 1 3. COMPLETE FEE SCHEDULE BELOY A. Ney Residential-Single or Multi-Family per dwelling 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 $ 40.00 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits .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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $ 80.00 see 1IBft above ," New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or yith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 ~ $ 36.00 ~~ ....P '3 /. ' DO ( .If (? 1.08 "'3 f?...1J~