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HomeMy WebLinkAboutPermit Electrical 1997-3-6 @ I h-.. r' . ~~~. ,c,.?Wm2- rr"'jf")ct c.c ....,.... ~ L n"il], I.V1d dV,;.J n.:.t n. 'J: 'il. . arpr:>val, ~- ".. ~.'_ DeB ZY~:r~DL 225 FIFTH STREET -- ~"f--:,-/. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 AU;hOriZadSjgnaturo~ a r I ~(11 INSPECTION REQUEST: 726-3769' ~ehy",J.o.b-. Number \. 10 ~ OFFICE: 726-3759 . 1. LOCATION ~INS!ALLATION \~O'3. tr.r,,\.~ '" LEGAL DESCRIPTION \Iiil. \. 1 ~ '3. ~"1 ~ \(') \. ~UJ ~Jt. ~&J!I~Lt/~ SeAC4;;' erml ts a~~~ and expire . if ~ork is not started ~ithin 180 days of issuance or if ~ork -is suspended for l80 days. \ CONTRACTOR INSTALLATION O~ Electrical Contractor ~ . Addr~'- ' / City ~ /Phone '-- n~Number ate "'-- ~ ~ Supervisor .... Signature of Supervising Electrician O~ners Name ~ \.V'\.J ~ /~~ "- Address U~,..D3 r ~ oJ.':.." ~ Ci ty _ '\:\'. Phone" q I..;.,'=> ~ 7~ OVNER INSTALLATION The installation is being made on property I o~n which is not intended for sale, lease or rent. -:miJ~j~"j" · p, Jl1k- DA~~~-~~-(;:--~------------- tu>LMl"l' I: n _J 4 -"7/) ?t-- RECEIVED BY: 11' /YltZ {h:J-d.6 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder $ 85.00 $ l5.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less ~ 20l amps to 400 amps 401 amps to, 600 amps 60l amps to lOOO amps Over lOOO ampslvolts Reconnect Only $ 50.00 /S'tJ,o"D $ 60.00 $lOO.OO $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 20l amps to 400 amps Over 401 to 600 amps Over 600 amps or 100v volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits .- New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or. Feeder Permit i!fIO $ 2.00 -'I tf a:J E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation ,$ 40.00 Sign/Outline Lighting $ 40.00 Limi ted Energy/Res $ 20:00 Limited EnergylComm $ 36.00 SUBTOTAL OF ABOVE / q () _ <16 5% State Surcharge q ,,50 3% Administrative Fee "'), '7 U 'J! cOnS. 20' 5. TOTAl.