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HomeMy WebLinkAboutPermit Electrical 1998-2-26 (2) . SpaFIELO . . The following project os oubmlltod hoe tho following zoning, and doee no! roquIro opecliIc land uoo approval, Zonina ~dJI 225 FIFTH STREET om:!/' 14 ..ft... SPRINGFIELD, OREGON 9T4'Ti1>r1zed Slgnalure ~ Iv\ INSPECTION REQUEST: 726-3769 - \ OFFICE: 726-3759 1. ~T~ON q.E.INSTALLATION ('\L 'tI)lV- H\~~n. ~ \.,~~PTIO .s ~~ De~~^Ot(\CL \'1~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ELECTRICAL PERMIT APPLICA~~ 1,;1 ty Job Numbc;r. Q. 9;(1).:..... ~ 3. COHPLETE FEE SCHEDULE BELOII . A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less ( $ 85.00 Bs Each additional 500 sq. ft or portion ~ ~ thereof $ 15.00 Each Hanuf'd Home,or Hodular, 'Dwelling' $ 40.00 Service or Feeder 2. CONTRACTOR INSTALLATION ONLY ,B. irvices or Feeders . ~,/(, Cl -,... tallation, Alterations Electrical Contractor \). S 2- f L <.-1 . ~o elocation: . 11v 0'..0 ~ Address, "1 r 7 () lA.h.,T /1 ~ 00. % ~ 'MIps or less $ 50.00 ~ ~~ ~~~mps to 400 amps $ 60.00 City Phone {e ~ ~to, 600 amps $100.00 a OF'. S !70 ~O~ to 1000 amps $130.00 Supervisor License Number I d V >r;.. 'Qy~~J.: ampslvolts $300.00 ~e~n;sac !<!Only $ 40.00 Expiration Date /0 .:. 99 - ''% 11<9 %:~ I c. T~po~ryo.A>~~i~es or Feeders ' Constr Contr. Number .;). /3 S' InstaI~..d~,~teration or Relocation OQ ~ ~ ~ Expiration Date (/-;)- f'" ( ( 200 amps'i@r, t&,s~ $ 40.00 201 amps t6'~6~;amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above ~~ Superv' ing Electrician .....~ Owners Name \: _ 0 [\ Address 00 \ ~~'7 Ci ty ~wDL · Phone J41'~11tl O~ iJ-rALLATION. The installation is being made on property I own which is not intended for sale. lease or rent. Ovner~~ignature: -, ~E~~------d~\O~.- _ ~__--:-- RECEIPT 11: . l ~l;;l b)') RECEIVED BY: 1J\.\ Iii D. Branch Circuits .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or' Feeder Permit $ 35.00 $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation ' Pump or irrigation $ 40.00 SignlOutline Lighting $ 40.00 Limited EnergylRes $ 20.00 Limited, EnergylComm $ 36,00 \\ l!S~D ~ ,1C:; ~'.~ 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL