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HomeMy WebLinkAboutPermit Electrical 1998-4-28 f) ." 6; " AUTHORIZED UNDE XPIRE IF THE WORK COMMENf:E R THIS PERMIT IS NOT ANY ll~. 'fo,,Q~ !S~lIIl11f)~Jl\lll tho folloWIOO o DAY ~D ~otriiqi;!hJ'nP'OOlillI1and uco 225 FIFTH STREET aW"Jva. 0D' ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoni"" . Cj':" 11 1,1 INSPECTION REQUEST: 7t~T}7~d~~ City Job Number _-1" _ _ 'b OFFICE: 726-3759 -'1~ Authorlzod Slgnaturo '(\ l\i\3. COMPLETE FEE SCHEDULE BELOY 1. LOCATION OF INSTALLATION -\ "3cr1J l-~ A. Ne'N Residential-Single or Multi-Family per d'Ne11ing unit. LEGAL DESCRIPTION Service Included: \-, 0.1 ;)1 I-/-{ 00 101 Items Cost Sum ~OB DESCRIPTION nclA\hiw\~ '>e.vdiLQ. ('~ Permits are non-transferable and expire if 'Nork is not started 'Nithin 180 days of issuance or if 'Nark is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contractor(ll'1lfWI Flod-riL uJ Mcu-~ Phone ~CI5'- Z-ljLjD Supervisor License, Number "3U2ILI-:' Expiration Date :5A-I't.:, ~/(; Constr Contr. Number (.Q(Q'iZC1<-t Address ~~l?::l..o City/ Vf:'i.lJfl \ Expiration Date~p/'f ,~~e of :upe~ViSing Electrician o,""(}".e~c SA Address City Phone O\INER INSTALLATION The installation ii b~ing made on property I ~'Nn which is not intended for sale, lease or ren t . Ovners Signature: ----------------------~--------------- DATE: ,Jf-dS- "7 RECEIPT ~: ~'1'J'67_ RECEIVED BY: ~ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'D'Nelling Service or Feeder ,B. Services or Feeders 'Installation, Alterations or Relocation: $ 85.00 $ 15.00 $ 40.00 $ 50.00 ICX, $ 60.00 $100.00 $130.00 \ ?-,{') $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 5. SUBTOTAL OF ABOVE ,5% State Surcharge 3% Administrative Fee TOTAL 200 amps or less z... 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see liB" above Ne'N, Alteration or Extension Per Panel .' One Circuit $ 35.00 Each Additional Circuit or 'Nith Service or Feeder Permit ZLI, $ 2.00 Jd5?.. E. Miscellaneous (Service/feeder not included) -Each. installation Pump or irrigation $ 40.00 Sign/au tline Ugh t ing $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 L,<6 i-:s..c"'tc) 9,. :1--1 JI> ~rI..') . 2LI