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HomeMy WebLinkAboutPermit Electrical 1997-5-22 (2) The following projoct as s~.bm:~IR~~d ~~~Vl'lll' ZO ling. end does not reqUlro "'-- approval. {} f1 Zonina \J. / 225 FIFTH STREET DoI6:'~? -<1-7 SPRINGFIELD. OREGON 974 77'.I.thorlzod Slgnatu'" t\ rYJ INSPECTION REQUEST: 726'2j769 OFFICE: 726-3759 r 1. LOCATION OF INSTALLATI9N ,Qoutn Umrayu ~(^",lc:. ba ~~ Wl \ A. rtryIJ;~ n~?fn. a:DE PTION . (/JJ' n-\u-i . 'i\\VfYI. wJo.\\ 61~S , " 11..\ ( [l:,c.;n IGin') , "us R::>~ \ centr[' Permits are non-tra~sferable and expire if york is not star tea vi thin' 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~~t A Address \'2\00/-\ J<.PA'\0t-\ (2D Ci ty {2.U3e (Ie... Supervisor License Phone LI<2,S'SS\1\P Number L/GtS Silo Expiration Date /0/07 C. Constr Contr. Number! (( Ji3C, r:JO/;)S::;O...:::> Expiration Date ;:y/;;;./Ci?-, {a/S] S'~".i'i.g "."",i,. Ovner~ NameRYlPf.<.1 Gr{)".J.f'h Address ,~OOO c;..Jc^"'6j 6wIl City Srr;r:.Jt-:,e-ld Phone OVNER INSTALLATION , The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE~-----------~:J~7~~~f-~:~~~-~-~ RECEIPT #: ~ , J.'---V\\~' RECEIVED BY: \~~'1,'\.. v - ,1 \ . ELE~CAL PERMIT APPLICATI~ Ci ty Job NUlllber (\1D2..l ( ) 3. .. COHPLETE FEE SCHEDULE BELOV Nev Residential-Single or Hulti-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional SOD sq. ft or portion thereof $ 15.00 Each Hanuf'd Home. or Hodular. 'Dvelling Service or Feeder $ 40.00 0 ,D. 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 $ SO.OO o' $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 $ SS.OO $ 80.00 see "BII above Hiscellaneous (Service/feeder not included -Each installation . , Pump or irrigation $ 40.00 - Sign/Outline Lighting~ $ 40.00 tKl-. Limited Energy/Res . $ 20.00 Limited Energy/Comm $ 36.00 iR.CP BO~ ~A),.v, 4: 1'" #:!It) ~ A; t) . \Sla ,10 D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 3S.00 $ 2.00 E. 5. SUBTOTAL OF ABOVE S% State Surcharge 3% Administrative Fee TOTAL .' "