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Home My WebLink AboutPermit Electrical 1996-7-26 -, .' ,II . SPRINGFIELD :"';. 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 (\'"\ Zonlno \ AJ 97477D.te~ - . 726-A~;(i~rlzed Signature 'iYVl 1. LOCATION OF It!,STALLATION 27~n c;./r/b.O~ LEGAL DESCRIPTION /7t'J ~ 2. 2. 07!') ,,2. ~c!>,S"" JOB DESCRIPTION S --.E eLE'C1 \? f LA L- Permits are non-transferable and expire if work is not started withip. 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor L.J9rrt"+~ ~ Address ~\.Dlo11,p ('0&1\ ~ OJ"D Ci t~~ \ 0 Phone 12.1n~ Supervisor License Number _~~~ Expil'ation Date \f) . \ q:-5 Constr Contr. Number ~~ lCf Expiration Date ""1. \-\ .~ <) Signature of ,-1~ ~er~~ctrician - - r/.-e (1'//,// /'./'J7 Owners Name Address Ci ty *~/J>t/) pJtPhone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --~--~----------------~- ------------- DATE: _ 7/2~ "9,?; RECEIPT ~: . f' -:>~ RECEIVED BY: ../ <('" ~~ ELECTRICAL PERMIT APPLICATION City Job Number 9' ~ ~,'7 s:. 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t 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 $ 15.00 $ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see IIBft above D. Branch Circuits New, Alteration or Extension Per Panel $ 35.00 3.50~ One Circui t Each Additional Circuit or with Service or Feeder Permit _~ 2.00 . v ;(a o~ $ E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm .. not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 o!'fi c.:!- ~tlJ5" /2.1 H/.<8 ~". .' t" . SPRINGFIELD -. . ".~. 225 FIFTH STREET' SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ., 97477 726-3769 1. . LOCATION OF I!iSTALLATION 27 ?.o c,~A-I:t . . - ~ LEGAL DESCRIPTION /7t'J \ 2. 2. ~ 62- 3,6),<) JOB DESCRIPTION 5. 'T E. eL En \? I L ^ L- Permits are non-transferable and expire if york is not started vithir. 180 days of issuance or if york is suspended for 180 days.' 2. CONTRACTOR' INSTALLATION ONLY Electrical Contractor t..nnt?~ ~~ Address ~\J>.lo'Z1o . (' 0 N(\ \\ ~ O..9,.D Cit~~\O ,'Phone 12ln.~ Supervisor License Number _~~ \() . \ qs Ch'\\o lq ""1" \4 .(\.<:) ,Expiration Date ConstrContr. Number Expiration Date .Signatur~. of super:fxctrician . ,1,^^^ ~ . - - Ovners Name_/'"'./.P !;u,./I /'--//P? . '.' t' Address . Ci ty ~~~j MPhone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. . Ovners Signature: --~--~------------------~------------- . DATE: 7/2~/9 h RECEIPT <<: . "( r;;:f"7 /.:. .~PJ, . RECEIVED BY:' ../~ I q--- P/~L., . , City 'Job Number ELECTRICAL ~ERHIT APPLICATION 3. COMPLETE FEE SCHEDULE BELOV 9' ~ 5",'7'5;... A. Nev Residential-~ingle or Multi-Family per dvelling unit. Service Included: 1000. sq. ft. or less Each additional 500 :sq. .ft or portion "thereof ' Each Manuf'd Home or Modular Dvelling Service or Feeder B. Services or Feeders Installation, Alterations or'Relocation: Items Cost, Sum, ., 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 $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60,00 $100.00 $110.00 $300.00 $ 40.00 C. . Temporary Services or' Feeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 .over 600 or less to 400 amps to 600 amps amps or 100u D. Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see ItB" above Ney, Alteration'or Extension Per Panel . <J "2 .:::. 0..- $ 35.00 ~.J Miscellaneous (Service/feeder -Each installation Pump or irrigation. Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Service or Feeder Permit .~ E. > 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ' $ 2.00 '; Co 0::- , . not included) $ 40.00 $ 40.00 '$ 20.00 $ 36.00 11C~ -;7 CJ$ /.2.J 4,2.'6