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HomeMy WebLinkAboutPermit Electrical 1996-7-24 . . . .' I' QWlngpr ectasu b . zoning, and does not r"" ~ mittod has the followin approvel. _,u re specific land .use Zoning Ur J Dme '1 '1].. 4 -P( CI 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97 t77~oHZOO SlgnSlure 726-3769 LOCATION OF INSTALLATION ;:{ ()::\ yY\l\ i f(\~. . . IfJ~~)PTION 1!l0rxJ 1. ?Iv\ ELECTRICAL PERMIT APQY!E:~ 7-- A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: JOB DESCRIPTION I.~'(\j \ cr~"{\' urC\.iti. Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended foq 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor r,t~p\o~t;U(\ 1~' Address P.O. ~1-. . Cit~ft\_i'~~~~~ Phone.14l.=..IJ.1.?JfcL Supervisor License Number I b &b S Expira tion Da te 10 - , - <\t;l Constr Contr. Number 09,~L\.<\ Expiration Date C\ --I - q b Signature of Supervising Electrician .d~ 4-~/___ - -'/ D . Ovners Name j::~.I1\Di\ I Address :io_~ . ~. . Ci ty~Phone '71.b-1510 ~~ INA~LATION The installation is being made on E. property I ovn vhich is not inten~ed . for sale, lease or rent. Owners Signature: --------------------11---7jr,----------- DATE: r;.~3 'Ih RECEIPT 11: , , O""I\~ {J RECEIVED BY: <'1Ill \(l ./' o--v'..-( 1.1LY Job Number 3. COMPLETE FEE SCHEDULE BELOV 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dvelling Service or Feeder .B. 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 Items Cost Sum $ 85.00 $ 15,00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 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 volts Branch Circui ts $ 40.00 $ 55.00 $ 80.00 see liB" above " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 J.5&o $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee _ TOTAL ' . $ 40.00 $ 40,00 $ 20.00 $ 36.00 _:l."i'. D'1 1.'15 I. Of>' ::l1.20