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HomeMy WebLinkAboutPermit Electrical 1995-3-22 -. . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ,,<:}. ~CATION OF INST~LATION 51'1o.-~ ~ ~ K',(lion , ~O , ,cLEGAL DESCRIPTION q:K5\ 1150 Z (':?, 7 -=''''' 0 D L-{j JOB DESCRIPTION _, ~ ~ ';u ,,-,no n 1'; p.llJill.fL ~ Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contractor$ 8~Q\W, (1Jw", Address P.D, ~,J. IJg~ l J Cit~l\.1Or\Qfid I Phone '74/-:t. ':};3 b Supervisor LIcense Number ~h ~ Expiration Date 10- 1- q 5 Constr Contr. Number 039,t}Q Expiration Date q -I - q 5 Signature of Supervising Electrician ~~~t?7~ Ovners Name ~lli\.t, ~rLJ Address 5~(HI0rfl"'.'IlII" '~IH(\O I CityJr!\Ill'\~ k.a~.'lhPhone '1 ~4- ost~1 OVNER IN~hLLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: 3 - 22-g1 RECEIPT #: /).JJ '(p "'7 RECEIVED BY: a.A~ ELECTRICAL PERKIT APPLICAT. IO~ / Ci ty Job Number q ?zr:~ 3. COMPLETE FEE SCHEDULE BELOV , A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft, or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling 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 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 volts D. Branch Ci rcui ts $ 40.00 $ 55.00 $ 80.00 see liB" above Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 a5.00 $2.00 not 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 .'l5.00 1.1 ~ l. C)5 ~,s:1o