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HomeMy WebLinkAboutPermit Electrical 1997-7-18 .. 225 FIFTH STREET The, following project as submittodt:'ns tho f'EtiiChuCAL PERMIT APPLICATION zonln~~, and does not roqUlre SpVCJliC land u~U' SPRINGFIELD, OREGON 97471.pproval. -/ INSPECtION REQUEST: 726-3769 , if U 'Ci ty Job Number '7 7/8.,... 7 OFFICE: 726-3759' Zoning l, _ , Date ~/i'" _CI::} 3. COMPLETE PEE SCHEDULE BELOII 1. LOCATION OPI~ALLATION '/,\"" ' J, :)5"/ 4~ZedSi9n.tur.-l-1LAJ New Ilesidential-Single or f Hulti-Family per dwelling uni t. , LEGAL DESCRIPTION Service Included: / 7~ ~ J 5 t:rO /5 / / J '7 ,JOB DESCRIPTION ) ' / flW<c ~T /AjI'~~<<r Permits are, non-transferable and expire if work is not started within 180 days of issuance or if vork is suspended for 180 days. ! 2. CONTRAcrOR INSTALLATION ONLY, , Electrical Contractor JB Electric Address 1786 Balboa Street Ci ty Eaqene Phone 687-5770 Supervisor Licen~e Number --1al2S Expiration Date In_ 1_' Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home or Hodular Dvelling Service or Feeder $ 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 Constr Contr. Number 84206~ C. Temporary Services or'Peeders Installation, Alteration or Relocation Expiratioj"Pate 6-22- Sign~ture~~~ian Ovners ~e~~ Address /-"" )~A-:7/1 Ci ty Phone-3-.4] -"? 71:-2- O\INER INSTALLATION The installation is beirig made on property I own which is, not intended for sale, lease or rent. Owners Signature: ~~~-Jq~------------------ 'Llf!')l,\ \i\l J DATE: RECEIPT t: RECEIVED BY: 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "Bn above Nev, Alteration or Extension Per Panel One Ci r'cui t Each Additional Circuit or with Servic~J or Feeder Permit ~ $ Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL -- $ 35.00 ~-~ 2 . 00 ----1fl. .,,- not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 41'? - '2.l"~- /"~ 7"'6.yy