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Home My WebLink AboutPermit Electrical 1997-1-6 ... . - SPRINGFIELD... 225 .FIFTH STREET The lollowing project a.<S'Jbmltledhas the f'E'fEcnuCAL pP.RHIT APPLICATION 97477~oning, and d-:-es not requlw specIfic tund u~... SPRINGFIELD, OREGON ""n'oval. . INSPECTION REQUEST: 726-3769 .' L<D(2,. City Job Number~~ ") OFFICE: 726-3759 ZOnlOO . ~ " . D"o I /[J ~1 3. COMPLETE FEE SCHEDULE BELOII 1; LOCATION OF INSTALLATION-1- -.. +- "A 35' b (;) 6.-<fre-w H\horize<lsigna\ure~r' tJe\l-~A-t1al-Single. or 17""~---z."2. -/2.-.L~~~bO . Multi-Family per d\lelhng uni t. LEGAL DESCRIPTION' Service Included: PAC/Rc:.' q Mgt)fL pAlM Items Cost Sum JOB DESCRIPTION WtLG IV~ ~/(;'-N - . ". . ~ Permits are non-transferable and ex~r~e if \lork is not started' \Ii thin 180 days 'of issuance or if \lork is suspended foe '180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor L.tI. 1(~~ ~r-- Address 4~ 'Slfeu.l.!r-I S7'fL Ci ty 'i>Ppo- Phone.'l4? ,-orr/l . Supervisor Licen.se Number. 301>b- <; Expiration Date }'tJ-/~ 9r Constr ContI:. Number DI <;r-'"3 ~ Expiration Date '-f;-<;7 . . ", Signature of Supervising Eiectrician I ~ vi~ e-.__e? _ - ': <J?. , Ovners N"f'e l~<'~c ~~~-?' Address ~..,~ <~~?,. 'Phone. ?'?c:;; '?2.a City -?p~U5 01lNER rnSTALLATION The installatioh.is:being mad~on property;r o\ln .\lhi~h is no'1: intended for sale, 'lease or rent.' . Ovners Signature: , .' ...., DATE: I~'?? RECEIPT, ~: . ~ 'Y'L/.g. . ,. RECEIVED BY: ;;:~- 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof . Each Hanuf"d Home or Modular D\lelling 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 $ 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 D.. Branch Circtiifs $ 40.00 $ 55.00 $ 80.00 . volts"see liB" above Ne\l, Alteration or Extension Per Panel Miscellaneous (Service/feeder .-Each installation puinp or. :lrdga tion Sign/Ou tl!neLigh ting~ Liinited Energy/Res LirriitedEnergylComm 'One Ci rcui\ .Each Additional , Circuitor \lith Service. cirFeeder.P~r'mi t' E. 5.. SUBTOTAL OF"ABOVE 54'State .Surcharge TOTAL . . ~ . . ": " -\- ?:Pb /lO.C'{\'\{\ ~~ $ 35.00 $ 2.00 not included) $40.00 $ 40.00 - 4-0 ~..2. $ .20.00 $36;60 '2~ I~ 4$ ,vO. -