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HomeMy WebLinkAboutPermit Electrical 1997-3-28 ~ . e- SPRINGFIELD The following project as submi~p.rl h"'~ t........ ~1"T1')..,in, zoning, and does not requIre s:,J\......iuc : ....... ~_,J approval. 97477 Zon;"" mw-- 72rJ"tJ7692y-251. - rn tJfIA. 3. 225 FIFTII STREET SPRINGFIELD, OREGON INSPECTION REQuEsT: OFFICE: 726-3759 1. ~Al- 'p~gp:J?TION I"1U6z::L.:~ 001rD I f\/~~~PTION III r"J ~ ~_\_ f Permits are non-transferable and expire if work is not started 'wi thin 180 days of issuance or if. work is suspended for 180 days. ELECTRICAL PERMIT APPLICATION City Job NumberQ, n Ilo { CO"IfLEIlLfEE SCHEDULE BELOII New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service o.r Feeder ~ & Sum $ 85.00 1m &2 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders r{l,,c" \ .I" 1\ _. Installation, Alterations Electrical Contractor...lLl.J' (" l{>rTf'Ic\&,J I)l1Cor Relocation: Ad!-lre,ss ~ J') IS- P D-'\ '"o-v\5, 0 e E'J 200 amps or less . ~ i) 1\ !") ") r 201 amps to 400 amps Ci ty ,,\ Y..GL Phone~ q -r~61D 401 amps to 600 amps ~ I , 601 amps to 1000 amps Supervisor License Number ~ ;;)'(t;f Over 1000 amps/vol ts ~ 0 l q Reconnec t Only Expiration Date I . . 'l "-. r\ C. Temporary Services or Feeders Constr Contr. Number O\f)- 3~ I \...: Installation, Alteration or Relocation Expi ra t ion Da te J/ / q q:; Signature of Supervis' g Electrician t.O....c.Q;lJ. . '-- Owners Nam~ A)~ ~~J Mdress ~cglZ.~~~ City &.ud_ Phone{7~'I~ ~ALLATION The installation is being made on property I own which is not intended for sale, lease or rent. . Owners Signature: --------------------------------------- ?-?:g,"'?7 "7,.,c f/(~ ;..---7 , ~-' (. '/ DATE: RECEIPT II: RECEIVED BY: 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 volts D. Ilranch Circuits $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 see "Bit above NeIJ, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or IJith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF AIlOVE ~rx?t?C> 5% State Surcharge /AJ. .,.-- 3% Administrative Fee ~ .e.<? TOTAL 2/~. _c>