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HomeMy WebLinkAboutPermit Electrical 1997-6-5 (2) Zon1ng lC" 0;(.. Authorized Signature 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION'REQUEST: 726-3769 OFFICE: 726-3759 1. ~\I~~~~~~~ \ LEG_~ QE~CRIPT~I\, '. ~t5.~A'Af) ( 1 J-\.\)lO ~JOB 01:\ Pe its ~re non-transfera Ie and expire if work is not started wi thin 180 days of issuance or if work is suspended for 180 days, .2. CONTRACTOR INSTALLATION ONLY.' ". .B. E1ect~ica1 Contractort11~ ~ fS~~ Addres~ CbL\- l\~2W\. ST' Ci ty fu~ Phone.:s4+. -1I16q . ..-J '. .' Supervisor LicE~ns~ Number 5'5'X>}i~ Expiration Date . '-JqCJB ' , '. 6. Constr Contr, Number \ if\\Q\)<;' E~piration Date' 'Q .l\.q~ . Signat~..E. ree ~. " ,ssuu~ rvis~iCian. . 7h/~ ./.~. owner~ NamJ':fu.~ ""~~ ~ .,. Ad~ress ~~\ t itl~lli'o tJ.( Ci~y\ ~n~\r(\/ ~:Phon~ ~~TION A- Ci ty .Job Number ._- .u...."c;nUCAL PERMIT APPLICATION Ql[ynl 3. COHPLETE FEE SCHEDULE BELOV Items uni t, Cost $ 85,06 $ 15.00 $ 40,00 . A. New Residential-Single or Hulti-Family per dwelling Service Included: $. 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C.' Temporary'Services or Feeders Installation, Alteration or Relocation The installation is being maae on property I own which -is not intended for sale; lease or rent, Owners Signature: . DATE: RECEIPT II: RECEIVED BY: . ~ Z~"3? ~/ ~~~ 1000 sq,ft, or less Each additional 500 sq. ft or portion thereof . Each Hanuf'd Home. or Modular. 'Dwelling Service or Feeder. . 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 . 200' amps' 'or less 201 amps to 400 amps Over 401 to 600 a~ps Over 600 amps or 1000 D. Branch Circuits volts $ 40.00 $ 55.00 $ 80,00 see "Bit abov~ .' New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline 'Lighting Limited Energy/Res Limi ted Energy/Comm . . One Circui t Each Additional Circuit or with Service or Feeder Permit E. .5. SUBTOTAL UF ABOVE 5% State' Surcharge . 3% Administrative Fee TOTAL '$ 35.00 $ 2.00 no t included)' $ 40.0'0 $ 40.00....J~ $ 20.00 . $ 36.00 .1'~ ). at) ""t:\~