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HomeMy WebLinkAboutPermit Electrical 1996-5-22 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Zonino L D V2.- 97477. c-/~ICt~' 726-396'9.....:L. .- ( n Ci ty Job Number Authorized Signature $. l' _ 3. ~COMPLETE FEE SCIlEDULE BELOII 1. LOCATION OF INSTALLATION --:z./~ L~p.?;..#.. #:5?::> LEGAL DESCRIPTION 1,")'2?~'7?-~- ~o/'~~ ,- JOB DESCRIPTION ~ //f:1!AV"'- ,#b~ .AC"_)-?L"~ Permits are non-transferable and expire if vork is not started within 180 days of issuance or if vork is suspended for 180 days. ELECTRICAL PERMIT APPLICATION --76C/~ ~.c::> A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 2. CONTRACTOR INSTAL~})ION ONLY' ,B. Electrical Contractor f)~ fi.,~ tbl.7f,t Address/4;O K rrvW VI Jl4_AIr& I I Ci ty }~\)(;,~ Phone (., ~ <17~73 - , Supervisor License Number "2l17,~ <) Expiration Date J()-I-o/5'! . . Constr Contr. Number CJ /" 2.--;1::; Expiration Date j-Z5"-Y7 ~~~~~~ectrician ow~ers Name '-hfit.M; 1 -/fJe.d~v Address )~) ?:I-8--f ~ ) '5r Ci ty SPI'-"1 ~ ()LphoneZ'I1 ~~ OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: 5" -<"2 . "p <6 2/~ <-;I _~.,e"Jl'~ Items 1000 sq.ft. or. less $ 85,00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular Dwelling V; S '. F d $ 40.00 'fC'. erO erVlce or ee er &/ Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100,00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "BII above Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35,00 $ 2.00 not included) $ 40,00 $ 40.00 S 20,00 S 36,00 9'~ <:>tt> 2,"""" /.2"'::> c,r~ ~~