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HomeMy WebLinkAboutPermit Electrical 1997-1-3 ': . -......." " . . . '.,.~ , appro'Vai~"~ ........... "u~ Il;fyulfe SpecifiC land use IZ/~' LUlL 974'1'7-'H3.j . . 17.26"'3J..6'Jjgnature~ ~ c: ty Job Number 3. COMPLETE FEE SCHEDULE BELOII 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST:. OFFICE: 726-3759 1. LOCA, TION ;J;]/;l;/jTION -:z,C;q) () - , LEG4lt 9.ESCRIPT~~v'; At7'\ /7() ~ ;).;)..17. ( IC H)'J[ .J JOB DESCRjlPTION """~^ . ()}J-<? ~ 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 B. Electrical Contrac~~I1~ Address 2.0/ \f{)-;Yr~ .?J- City_~.-/ Phone -::Szt2-/7fo or supervisoQ License Number sc5? c"3(q Expiration Date /0- / - q.? Cons t r Con t r. Number . &/{ ~ {c;:: Expiration Date ~~q~q~ ~ian Owners Name VQfJ;h? ~ q ItAcJf?rr ~V\ D. Address ,a; 'IS U ~ "St- Cit ~Co~6 OIINER IN TALLATION The installation is being made on property I own which is not intended for sale, lease or rent. I~ I Owners Signature: DATE~------r\:~~'?~-~--------------- RECEI~l ii: !L;(,f1:.L4' RECEIVED BY: ''t::-.,' I.J~ " ELECTRICAL PERMIT APPLICATION Q0/CJ/7 A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items 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 S 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 $ 40.00 201 amps to 400 amps $ 55.00 Over 401. to 600.amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits . New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting D( Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ 36.00 ~'O.(;O :2 . f7'i-J J. :t--Q _'-f",.:J-.f'?_ 40.00 40.00 20.00 !:1JL:!lY