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HomeMy WebLinkAboutPermit Electrical 1996-3-29 i:" . . The tollowin9 prO\e~ require spec"iC Ian u lQoing, and does n approvaL r<. 225 FIITH STREET Zonifl9_ L D . .. ELECTRICAL PERMIT APPLItMTION SPRINGFIELD, OREGON 97477 , '3/;yf jq ~ (\ I 10 INSPECTION REQUEST: 726-37i'l~a I '~ CiJY In&- Number ~ \0 1\ OFFICE: 726-3759 Au\hortzed SignatUre 3, OHPLETE PEE SCHEDULE BELOV N. 1. LO~~ ~LA --1..~ON {\ -l9B \QESCRIl"m>l,i - ~- ~... IX' ~~ ~l\t\~~, ~ &r' Permits are non-transferable an expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor~ ~r~V\ Address SQC1"TG:. 1::x:1y Lane", City t.l.)q&W\~ Phone (08(,,-0':71':>,5 ~ Supervisor License Number 15" e S /o/t/q!j 5#31 Cf/50/Qe Expiration Date Constr Contr. Number Expiration Date Signatu~~~~ician O,.m N~\\J:~all\ ~l1illDu1 AddreLf'f \~\~ Ci ty Phone "144. ~~ ' o ~STALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~----------~:~~11?----~----- RECEIPT 11: \J :'N': 6,r 1'1<"6.,j RECEIVED BY: ~_" , A. New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder -l... 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 uni t. Cost Sum \ $ 85.00 ~ SO $ 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 vol ts Branch Circuits $ 40.00 $55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with 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 included) $ 40.00 $ 40.00 S 20.00 S 36.C() \\~, C:;,'b2 ~~\