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HomeMy WebLinkAboutPermit Electrical 1996-7-23 . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 72"6-3759 Zoning L D e.- O"t,~'LQ.q & . 97477 - 72(;!t.'J\7'f1r1d Siijnature . SPRINGFIELD ......., ELECTRICAL PERMIT APPLICATION m r:;!Y Job Number q & ()q R~ COMPLETE FEE SCHEDULE BELOV - . New Residential-Single or Multi-Family per' dwelling unit. Service Included: 1. LOCATIO{ OF INSTALLATION / r;;z/ ,~r/.R~ t2.1d, LEGAL DESCRIPTION I t(J'2, ::],2, '7 -"' nli(JT) ~B DES~P'!'I9N ~1 d;JV(}-e.rt:<.p / a J d.Lrn PermIts are non-t~nsferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . Constr Contr. Number ~f'~~1 Expiration ,Date 10/97 Signature of Supervising Electrician Il// ~ IY //../..u" -' ~. Owners f:ne V;~~~/l~a . L1)oo 4 . Add ress J(o 2- tJ Li4J. OAJ\ I\V ~ ~ Ci ty ~ ,rOfrR OVNER INSTALLATION Phone The installation is beirig made on property I own vhich is not intended for sale, lease or ren~. Ovners Signature: --------------------------------------- DATE: 7~Z7-q & ",,-,,"Hi ,: '12Sx~ RECEIVED BY: ~ - Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 see uBIt volts above D. Branch Circuits Nev, 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 Limi ted Energy/Res -X- $ 20.00 ...J-O Limited Energy/Comm $ 36.00 ", 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL .:JO ~ - ( - ,;J..(