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HomeMy WebLinkAboutPermit Electrical 1998-6-18 - ., . SPRINGFIELD 1 he. following project as r.ubmltted tk"1S the foil. ZOJ"ltr"q. and does not require opccrffc land uo; r.'I, ....val. ~7.0nlr;. 6-0 225 FIFTH STREET Daie . '6 SPRINGFIELD, OREGON 97477 . n INSPECTION REQUEST: 726_3'~9orlzedSlgnalure YY\ OFFICE: 726-3759 . \ 3. 1. LOCATION OF INSTALLATION .?'9~~~~A'~? . LEGAL DESCRIPTION /?--'&>;;:;>.'2"2 .~. .Ll:2::!~ . A. JOB DESCRIPTION r~7'__/#~?'r ~~Z~. 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 Con trac tor~'LluX f:.\e.<:-'\y-lC Address lJ.g~ Wk\ :X;};V~ Ci ty 5.J...~~NV Phone &BR-&/ ~I Supervisor License Number ~'7ICf~ Expiration Date 10/01 Jqp, I I ~ c. Constr Contr. Number.;;;tJ-/1Ct{7, Expiration Date 10/01/qB Signature of Supervising Electrician ~'~'/--Nr:J7HIW .pIt/uPs V ./" D. Ovners Name/..0"""'~~ ~~ Address /A~ .A/. ~~ CitY'l/1"'-r~ /~ Phone?/.:> ~.<,~ ,~~. OVNER 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: ~.<9S:;: ~~ :>V -~47 ELECTRICAL PERKIT APPUCATION City Job NUlllber ~~~S . . ... -. COMPLETE FEE SCHEDULE BELOII Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. 'Dvelling' Service or Feeder 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 S 60.00 $100.00 $130.00 "J'" $300.00 $ 40.00 L{ /iC.. ~ "9.L/"':, 9'&16 . Temporary Services or Feeders Installation, Alteration or Relocation 200 amp~'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits $ 40.00 $ 55.00 $ 80.00 voJ.ts see "B" above Nev, Alteration or Extension Per Panel " .One Circui t $ 35.00 Each Additional Circuit or vith Service or Feeder Permi t ~ $ 2.00 /~ Miscellaneous (Serviceifeeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limi ted Energy/Res . Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL S 40.00 $ 40.00 $ 20.00 $ 36.00 ~~a. -' /&,€..- 9~ ~~g .