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HomeMy WebLinkAboutPermit Electrical 1997-5-22 (3) 1ierA . " . ~ 1'ho following PIQj.;;....~t "'aquire spOCillC l~\ll'" ....... ~(''11nn, and does no r e;.[)ro'lal. . L. G ZonlO~ o":e~'C)')..:Eq 225 FIFTH STREET ' f\ fV\ SPRINGFIELD. OREGON 974 7illorlt.ed s\gnaIUre-'~I-'+- INSPECTION REQUEST: 726-}l69 ' OFFICE: 726-3759_~f)qi\b~ 3. 1. LOCATION OF I~iALb<TI~ SOu+h llmpaJe ,1l1i:.n Ie bc-\evJ0j \ A. t-ffi~~PTm3(X) to . _ - JOB DESCRIPTION ' '\ \\urY) IAI (1\ \ S\:!J' IAli-l-h \ O~p Permits are non-transferable and expire if york is not started vi thin' 180 days of issuance or if york is suspended for 180 days. 2, CONTRACTOR INSTALLATION ONLY Electrical Contractor EStA Address 12\0 OAK.Pfl1Z)-T ItO City EUqene Phone 118s-5S'f\o ~ Supervisor License Number L.J l.j ~ SIC. Expiration Date 10/ Cj7 l 1" C. Constr Contr. NumbeL' III 50 t.-{)'2>"'5CLs Expiration Date ;<-).-1'6 . /0/97 Signature of Supervising Electrician MEA / / (\ OvneL's Name \::e()P,r:;\ C;,()w+h Address 3000 bt:--lWJCU1 j!;ui/T) Ci tySr('V/!J(.;..d d Phone OIINER INSTALLATION , The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE~----------~:r-~~~-~~~~---- RECEIPT ~: :\-:"1V \ RECEIVED BY: ~\~ _EI.:ECTRICAL PERIIIT~PLICAT;?'" City Job Number utlOA' K) COHPLETE FEE SCHEDULE BELOV Nev Residential-Single or Hulti-Family per dvelling unit. Service Included: Sum Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion the reo f Each Hanuf'd Home. or ModulaL', 'Ovelling Service or Feeder ,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 S 85.00 S 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 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch. Circuits $ 40.00 $ 55.00 $ 80,00 see "B" above , " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 " $ 2.00 not incl~d~'d) . 1. $ 40.00 $ 40.00 ~ $ 20.00 $ 36.00 4Q.lJ} _ I)J,W 4~!!ML