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HomeMy WebLinkAboutPermit Electrical 1997-7-3 -r" \~ . SPI.FIELD The fOllov'inq project as submitted tl-", th9 following zr. ;-'1'1. e.n,} doas not roqulro specific land usa 4':p[..d,.rv-~d, Zoning W { 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 r..o '"1- 'b"C!,,? 97477 - 7261!?3'7-693lgnntura rJr-It 3. 1. LOCATION OF INSTALLATION '::2... .4)y/?' ,~A;:~A/A'S7F;)..A. LEGAL DESCRIPTION /~~.2~-~ . . , /P~C~% ~~S1'~ ~^' ?fl!'i:5. Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY Electrical contractor~. Address Ci ty Phone Supervisor License Number Expiration Date ELECTRICAL PERMIT APPLICATION City Job Number. 9'7/e:P.2 / COMPLETE FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq,ft, or less S 85.00 Each additional 500 sq. ft or portion thereof S 15,00 Each Manuf'd Home. or Modular 'Dvelling Service or Feeder $ 40,00 $ 50.00 $ 60,00 $100.00 $130.00 $300.00 $ 40,00 C, Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date Signature of Supervising Electrician Ovners Name ~#~ C;;;~" AA"d!i?"r AddressS""Y~ g-f!~~ City ~ Phone?f,.t'/~~ OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: ~ .JJ0UkdA DATE: 2- -;'-7';> RECEIPT jI: ~...s;-:2/ RECEIVED BY: ~~w .r ' 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 200 amps' 'OT less -- $ 40.00 t,A::i? 201 amps to 400 amps S 55.00 ' Over 401 to 600 amps $ 80,00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits Constr Contr. Number " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2,00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E, 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL not included) S $ $ $ 4'tfP. - 7-- /_2c::::. ~..~ 40,00 40.00 20,00 36.00