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HomeMy WebLinkAboutPermit Electrical 1997-6-26 The" following project as .ubmitted h"" Ih zonmg, and does not requir~ opecii'" '"n approve I. l'",..... .. c Zoning P 10 Dole 0 ru, /11 97477 Autho~zed Signaturo.JlYVI 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFPICE: 726-3759 1. LOCATION pF INSTALLATION . ':\ t::. 'il'O ...1 All.,.nc.. ~ ~~ " 0 A. ~ ~ I~ LEGAL DESCRIPTION 1'60:200 (:2 Oo-we- \\Il1'''\W ~1bJ~ . JOB DESCRIPTION . (, 1/\ \ \ ? f\."TiT1l~A1 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number /()73 j)s. Expiration Date WI? . Constr Contr. Number Expiration Date SignatUje of Supervising Electrician 0!fll A /"I~ .. ~ rta:e ~-\~\ s.Clot""-L \) \...~ Address ~.2..S /hil/ ST. Phone ?#-C,375 City S.MJ;..J/t7Y1Q I OIlNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or ren t. Owners Signature: €1('1j;,-;~:;;=-------- R PT ff: 2.J~'J.LJA RECEIVED BY: r~ ' ELECTRICAL PERMIT APPLICATION ;;:'~J J.;~umber Q70 '-( b 'S 3. COMPLETE FEE SCHEDULE BELOY New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less S 85.00 Each additional 500 sq. ft or portion thereof S 15.00 Each Manuf'd Home or Modular "Dwelling Service or Feeder S 40.00 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 $ 50.00 S 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 100U volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit I $ 35.00 Each Additional Circuit or with Service or Feeder Permit ~ $ 2.00 no t included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 s s s s 3'1.00 ---I.X'S I . II ""\ Cl_ 91....-