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HomeMy WebLinkAboutPermit Electrical 1997-2-14 " The tollowing project as sub ' " lonin!), and does not req . m~ittcd.ras th..J foiiu..,H:g apprcvnJ. Ulrc ..'PecldC lc.nd l:OO lonincrvt Qf.- 9747;212,/1 d.. ~t;/1 726-3769-~(.-1 Authorized Signature ~ M J. 1. J&kATIgN OF INSTALLATION ~~ 6f'rtC."'''-/ A. 1='~~~C:O_3 ;).-::Ltf)02201 JOB DESCRIPTIOtj...., <, ~.~ ~>>(-~ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~~ .>.L".:" Address '/':;0;). '-V (g "'" Ci ty Cuj ~ , Phone ~I'(P -.;l.3r..J Supervisor License Number ..S;l 8"ri- ~ Expiration Date /0/'17 I Constr Contr. Number ~O - t'-/sC (0/9r Ovners Name K Address City Phone OVNER INSTALLATION " The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: ~~~~::~:~-~~~------------- 5. ELECTRICAL PERHI'I;~<\!,PLICATION Pi ,--.".", Ci ty Job Numberi'iWJ/CrJ:!s~ ;----..--",. - ~uMtLETE FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost 1000 SQ. f t- or less $ 85.00 Each additional 500 SQ. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular'Dvelling Service or Feeder $ 40.00 Sum ,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 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits " Nev, Alteration or Extension Per Panel One Circuit / $ 35.00 3500 Each Additional Circuit or vith servicil $ ~~ or Feeder Permit 2.00 E. , . Miscellaneous (Service/feeder not included) -Each installation !., . Pump or irrigation 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 ~cO ; __ ?j~, -r---/..J,.9 3u ~.I L/Jdl( SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL