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HomeMy WebLinkAboutPermit Electrical 1996-6-14 r . --7 SPRINGFIELD , 225 FIFTH STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 _J INSPECTION REQUEST: 726-3769 City Job Number e:f5t!Jt;,Q'.S" OFFICE: 726-3759 1. LOC~2: ~/N~~ LEGAL DESCRIPTION /9J t'J 2Ll s- /2- JOB DESCRIPTION '5..r-~ tJ'~~v Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. Electrical contractorJI'1(/( j}J-nO(l: f,)O/l) ki-r;c.< . 5I'11c!.- . Address 51!? C;-., .s-~ rod C:-r- City S;r/J1(i~~ (d Phone 74-r ?Ofj~ Supervisor License Number 37 3 ~-S Expiration Date I()-I_t;'if Constr Conn. Number 77tJ/j~ Expiration Date /tJ-(1')- qlt' Signature of Supervising Electrician ~e-A4 . Ovners Name-1NAJJ( h,eru] Address Ci ty Phone-2~' -" 4 OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: ~ -/~~"'6 RECEIPT #: ':l..1"7So/ ..--. r ./7~'~'':'" 3. COMPLETE FEE SCHEDULE BELOY A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less ~$ 85.00 ~.H:> Each additional 500 sq. ft or portion thereof '2- $ 15. 00 ~ bit Each Manuf'd Home. or Modular'Dvelling Service or Feeder $ 40.00 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 $ 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 D. Branch Circui ts $ 40.00 $ 55.00 $ 80.00 see "B" above .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOT~L OF_ABOVE 5% State Surcharge 3% Administrative Fee $ 35.00 $ 2.00 not included) $ $ $ $ --1-15.1>-0 So 7.. 3.1'J" JUJ.O 40.00 40.00 20.00 36.00