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HomeMy WebLinkAboutPermit Electrical 1997-1-23 -. SPR_FIELD 1t . "~llov'ing projoct aa Gubmitted.~3sm.J l~ll""'V" ,~ end dOGS not rBquirc epecI1lc l~'nd u..c 7';1' ::.. ..,oval. . /' ., Zoning l,fYIJ, 97477 726J:J76'Ll-? ~-17 '" \ or'I'~d SignalureJ, M ~U., ... 3. COMPLETE FEE SCHEDULE BELO\l LOCATION OF INSTALLATION ~1)7'7 l...dUYn ,<;-/-. ELECTRICAL PERMIT APPLICATIONr~ City Job Number 9 ~ I/!) X 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. Ne~ Residential-Single or Multi-Family per d~elling Service Included: A. uni t. 'LEGAL DESCRIPTION ,[ /\ V --; f)1, ':)/ I IV) 0' UO Sum Cost Items $ 85.00 1000 sq.ft. or less Each additional 500 sq. it Dr port ion thereof Each Manuf'd Home or Modular D~elling Service or Feeder JOB DESCRIPTION IrJ<'l-oll ,~eCUVtr+l/ / Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, AlteratiDns Electrical Contractor Son; troi Seeur i ty or Relocation: , Add,'ess P.O. Box 21009 $ 50.00 S 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps Dr less 20l amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts ReCDnnect Only Phone 461-5678 Ci ty Euuene Supervisor License Number /lnl?9 R6T Expiration Date /{)-/-qq C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Contr. Number 65149 7/zcoo $ 40.00 $ 55.00 $ 80.00 volts see I'B'I above 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Expiration Date fr Signature of Supervising Electrician ~J--d~ '- L-" - ~ (,..r;?/ 1?7 .!5Q5151 UD. OTJners Name c..- -[~!LLf".J.;; at'. w.' 'Y0-e.-1- Add ress (::/lI/1/1/J Ci ty c:: (JI? nY2. _Phone 74Ib-?r?l5f Branch Circuits Ne~, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or ~ith Service or Feeder Permit $ 2.00 OVNER INSTALLATION 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 I $ 36.00 ~~ 5, SUBTOTAL OF ABOVE ,3(Qon 5% S ta te Surcharge / dO 3% Administrative Fee /08 TOTAL :~R'g"S The installation is being made on property I o~n ~hich is not intended for sale. lease or ren t. O~ners Signature: ----------------?:~7------------------ DATE: 1- ~<; --7 RECEIPT #: U"dl.-fc5 (. d-- ' RECEIVED BY: ,I). i'Y/O ('I'Q cL ()