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HomeMy WebLinkAboutPermit Electrical 1996-3-11 03/06/96 u~:o. "g-uuo) I ~o oJUO", ..;U.1'''' UL..'. ........n. 1iha>fbllowJl:lQl ~~!II!: '!,U.lPmI!!RRt~ !/II!. WllR,YJ)" , =ing, and; rj.Q#Jt;lIR!l..~r.'!; ~'IR!tiii:lll1Nli'/1lf6 . -j?l1S~ 225 FIPTH STREET . --=>, ELECTRICAL PERIlIT APPLICATION SPRINGFIELD, OREGON 974770010 J " n " INSPECTION REQUEST: '726-~~ "' c.A-/ Citv'Job Number 96""C!J?7'C:::> OFFICE: 726-3759, '. . " , .. . '3. I COMPLETE FEE SCHEDULE'BELOV 1. LOCATION OF INSTALLATION. j , .:J..7t5???-9-72rw~-~W'~~ A. Nell Residential-Single or / ' Mul ti-Family per dllelling uni t. LEGAL DESCRIPTION Service Included: /7(.:>3 ,p..;z.. ~o - O.?3IJJftJ Items Cost Sum . JOB DESCRIPTION /-~K'~,r7'" ("~ Permits are non-transferable and expire if 1I0rk is not started lIithin 180 days of issuance or if 1I0rk is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLYB. Electrical Contractor s;~ f: k-L,t.. Addres's ;;YJO I .s ~ JL/i!:>-' City av-\-L) , Phone .,,23,3-363 / :st%S Supervisor License Number Expiration Date ,01 Cf8 . 4L/~:1.3 Constr Contr. Number Expiration Date Jo/CJ6 Signature of SUfe~ising Electrician /VJk~ Wrz'A . ~\lners Na~ n& T ;:dre seff}<:{J ~~ The installation is being made on property I Olin IIhich is not intended for sale, lease or rent. Ollners Signature: ~ ----------------------?1>r------------- DATE:_ /;!)" I .'-11 Fl,.........1 RECEIPT 11: . , "e' 1ILJ ~ RECEIVED BY: C\' '\F1- ~ - - 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof, Each Manuf'd Home. or Modular'Dllelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amp's to,600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only C. $ 85.00 '$ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amp~"or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above " Nell, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circui t J Each Additional Circuit or lIith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL , , $ 35.00 ;:JtJ;'OO $ 2.00 not included) $ 40.00' $ 40.00 S 20.00 $ 36.00 rtf'367cP 0 /.76 ~ I,or ., ~S'f' Q-oD .3 ') ,81)