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HomeMy WebLinkAboutPermit Electrical 1997-8-29 . spa FIELD "."., , 225 FIITH STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 . J INSPECTION REQUEST: 726-3769 City Job Number. 97 L2-- 2.1- OFFICE: 726-3759 ~~ OF :J?)I;,U;;;:'~ LEGAL DESCRIPTION J~/t)2/) ~2.1 t:J3eJt!'o JOB DESCRIPTION ~A _~/~ ~ 1. ~ ,E.....Rd"#_ , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor AM'~ . Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name~s' ~I #~~ Address$3 ,)". _<d J0 City 5'~r5l PhoneY/""'J~3~ OVNER INSTALLATION The installation is being. made on property I own which is not intended for sale, lease or rent. Owners Signature: ~__ ~/l~~ ---~------------~------------~--------- DATE: 5i?-2~~:;:> _ RECEIPT 1I: Q7pa.<"/ ~O RECEIVED BY: . ~ L/~ .' //- 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Hems Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular.Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 L----' $ 40.00 AYI!:fl $ 55.00 ~ $ 80.00, volts see "B" above D. Branch Circuits " New, Alteration or Extension Per Panel One Circuit . $ 35.00 Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 4t;; ,D 0 . z..'1' 0 I ,:2. 0 -pf3 .20 SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL