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HomeMy WebLinkAboutPermit Electrical 1996-3-6 ~ .=. . SPRINGFIELD Zonill\l1)"\ () rL 225 ut.u STREET Oat. -;3 ~'( "11 ~ HLECTRICAL PERMIT APPLlCA~ION SPRINGFIELD, OREGON 97477 I 'f' q 5 INSPECTION REQUEST: 726-37691\uthO~rizo?1lg9Plure /'l.-f) City Job Number OFFICE: 726-3759 ~.V C II . . 3. eOHPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION ~ 1.1/- ~()//"'!~L Lp. /~A-5'~~ A. New ~esidential-Single,or -, ~ / Hul U-Family per dwelhng uni t. ION Service Included: 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Z / Installation, Alterations Electrical Contractor .?A/JL'~() or Relocation: Address {2-00 r,'/ ~"..- 200 amps or less __ // -7"7 __201 amps to 400 amps Ci ty e: "1 C ~,.../ -l Phone?..., S - ~ ~ ~ 401 amps to 600 amps , , ,,/ __ 601 amps to 1000 amps Supervisor Licen.se Number 74''Y'-/~.e:.. Over 1000 amps/volts / ., Reconnect Only Expiration Date /tJ 91... Constr Contr. Number 9'0 ~ 06 ~/?7 l ..aOB DESCRVfION / / LlI~Lr;(" ~A"~L.,/ /~/r,,edOr; Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expira tion Date Signature of Supervising Electrician ./~ ~ c:; ;, own~rs Name-I:J (tCe:' ~,k ZJ /7;- /" Address, '\11 ~ (I. L \ h ' Ci ty eA~(J..... Phone OVNER IN ALLATlON The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: DATE~-----~-:1l7~~t27-----,-~-~~--- RECEIPT 1I: ,IJ _ \\\j-.J RECEIVED BY: CA ~ r Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dwelling Service or Feeder Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 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 D. Branch Circui ts volts $ 40.00 $ 55.00 $ 80.00 see un" above New, Alteration or Extension Per Panel $ 35,00 Miscellaneous (Service/feeder -Each installation . Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE ~% State Surcharge TOTAL $ 2.00 not included) J $ 40,00 $ 40.00 $ 20.00 $ 36.00 '?t':. - 7. ~~ 18 ~8 ~-