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HomeMy WebLinkAboutPermit Electrical 1997-1-23 -. SPR.IEU] The following projoct es $ubmit:od hC'~ t:10 fc!lcwi. zoning, and dces not requirJ' cp~c;!i~ I nd u...u approval. ZOOjnLL../)~ 225 FIFTH STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477"t'-1-7 .1.-0:::J q~^ IS (/ INSPECTION REQUEST: 726f,,3~,69.3dSignatU(iJ_tJM City Job Number fU X OFFICE: 726-3759 * 3. COMPLETE FEE SCHEDULE BELOY 1. L06T~N OF INSTALLA'j:ION . III / /"I V", {[,.. ~ CY/j I1P~Ne'W Residential-Single or . - (cl' Mul ti-Family per d'Welling uni t. P-e_'t{~Lr~E(fRIP~~e{) ?A~} Service Included: Items Cost JOB DESCRIPTION ,,\.J'r7J Y 1000 sq.ft. or less $ 85.00 )7/') '3 33// ()O trU V Each addi tional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular, 'D'Welling Service or Feeder 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 ~ ~ Lo [)'L.- I>L.I)~ fl &e:c . Electrical ~ntractor Address ~ ~ $" /V G 'fLf.1 ^-'> , '''-; Phone 683-7-07-1 Number .>2-'1 V S Expiration Date bq :;? Constr Contr. Number /0],677 I-q~ Ci ty ~JI "-~ Supervisor License Expiration Date Sign~perV~Sing Ele o'Wne~: Name lit c; C; I ~5 Address II, 70 I keLLo '7 1 City S (/-) Pho;7J-.{-$JL ~ I OYNER INSTALLATION c1an The installation is being made on property I o'Wn 'Which is not intended for sale, lease or rent, Ovners Signature: DA~E~-r~:>-~-~'1'~----------~--------- RECEIPT tI:.\, 1.2 ~ :, /1; , RECEIVED BY: fl. I VI { J;r a II. /J .-}....- ~ Sum $ 15.00 $ 40.00 .B. Services or Feeders Installation, Alterations or Relocation: 50 . (5V L $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to. 1000 amps Over 1000 amps/volts Reconnect Only 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 1000 volts see "B" above D. Branch Circuits .' Ne'W, Alteration or Extension Per Panel One Circuit Each Additional Circuit or 'With Service or Feeder Permit $ 35.00 $ 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 (<:) () . 6?> 5% State Surcharge .::, . ,~() 3% Administrative Fee I - Sn TOTAL c:: U. /Jt) -, '