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HomeMy WebLinkAboutPermit Electrical 1997-10-9 . .. / SPRINGFIELD , , approval, Zonina I At/' Date,l 0- Cf1 -C1_1 A~~~~~~'r-. SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 726-3769 1. LOCATION OF INSTALLATION 1.J..:H?n ~I\....> ~(L 1~~ES~I,?fL/ OV!?5t5D .JOB DE~CRIPTION I. _u.. . \ \'(\(\"tf'1 ~ ~ ) ....11 I ~to n J tW\, ~l,U.C.U u Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor C. tS Pb~1 Address P,lS). Y I~Zi. , City4J\.1m.~~~LL Phone 141 -::A1.2C:o Supervisor LIcense Number _I b g h .\ Expiration Date IO-I-q<g Constr Contr. Number 824q Expiration Date q -I-q<g Signature of Supervising Electrician rY.A~& /~ Owners Name fu:~n.~~'t-hl Addressj.~~{). \)rfl ~aul\.., ~N. . Ci t~r\l.J{\Q t\~~ iL Phone.!1!l!J...:.Q31!L OIINER IN~TALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners:"Signature: " -----------71---9---------------------- DATE:. ~a --J - 7.. RECEIPT I: Ud-' <t?:::>,::) RECEIVED BY: (i rY IfLUL!A..fl./U ELECTRICAL PERMIT APPLICATION Ci ty Job Number q 1/ '-I If), 3. COMPLETE FEE SCHEDULE BELOII . A. New Residential-Single or ~ Multi-Family per dwelling unit. Service Included:' , Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. 'Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 $ 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 volts $ 40.00 $ 55.00 $ 80.00 see ItB" above D. Branch Circuits ." New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 3:),DO $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ~5.DO 5% State Surcharge I . 'l~ 3% Administrative Fee I. oS' TOTAL --3.1.. Ro