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HomeMy WebLinkAboutPermit Electrical 1996-9-20 . . SPRINGFIELD Th9 follo......ing project as ;ubmtttod has the ~oll 7<\.lii1't.1, arld'aoes not roqulre specifIc Ie.nd use ~!...prvv3i. ZOniI'K1 ('0 225 FIITH STREET D. ,MiL~L4.&\ (fl Vx'\ ^ SPRINGFIELD, OREGON 97477. flY I INSPECTION REQUEST: 726_3i/f9'orlza<l Slgnlllure OFFICE: 726-3759 1. LOCATIOI},~F INSTALLATION ..;2/~6 f?-rrewfU.I Sr- I ~I~?;~ON ~~rD-,- JOB DESCRIPTION, (")/" /) ..... DI F F ~ lEE sr A- ).)D/IJG- .:> f::n..J Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor /lffll!!r1,o 13~9. Address /MLf ...iEOl3l2S0AJ St. City E(J~ Phone3i/;;-!7h9 Supervisor License Number l!3f> Expiration Date ~ Constr Contr. Number 6t;'~/P Expiration Date 3111- Signature of Supervising Electrician ~~ 5.h.,~ . v/- - D Owners Name~.4Y fl1/1-t.{ Atzltztrs . Address OOaO ~ St. .' , Ci ty .'5fI?l/"Jt!JFleUJ Phone 1'17- b;)!9tj OVNER INSTALLATION The installation is being made on E. property I own which is not intended for sale, lease or rent. Owners Signature: D~~E~--------~~~~rl?--~-------~5. RECEIPT #: .. I. . 0r~~..f ~ ~1) RECEIVED BY: O'-U~ ELECTRICAL PERMIT APPLICATION C\\oD:\ 1c:=l v'LY Job Number 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular 'Dwelling Service or Feeder $ 40.00 .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 $ 40.00 201 amps to 400 amps S 55.00 Over 401 to 600 amps S 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit S 35.00 S 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting / Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ '10- 2.- 1,20 ../L'I3. 2.0 40.00 40.00 20.00 36.00 t{P-