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HomeMy WebLinkAboutPermit Electrical 1997-9-3 " .' . " "'.~ z~n\ng, and does no u"'1 approval., e.0 ZOnlng_ oot.0,1,A'1- 225 FIFTH STREET ll\l!horlzed Slgnoture. uf-1- ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974/7 INSPECTION REQUEST: 726-3769 City Job Number 7(,-/07'1 OFFICE: 726-3759 1. LOCATION Og. INSTALLATION '?;;SS- 6"(~~ $;, V\~~mPTIl)\ , \ q ~U JOB pESCRIPTI~~ /1 t'-f,A.../ c)~ c.L Constr Contr. Number 01<lners !lame ~ )0<-' //9ta.Tt'-7 . , 3.~J.-- kT-ew~ City GUJ<.~ ~' ,~ Address , Phone , OVNER INSTALLATION The installation is being made on E. property I o1<ln 1<Ihich is not intended for sale, lease or rent. Ovners Signature: ~ATE~~trn-)--GE!~6-~--~~\ RECEI~ 111 I.:" \ 3. COMPLETE FEE SCIlEDULE BELOIl A. Ne1<l Residential-Single or Multi-Family per d1<lelling 'Service Included: Items uni t. Cost Sum $ 85.00 $ 15.00 $ 40.00 I $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 J.M;r- 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 Circui ts volts $ 40.00 $ 55.00 $ 80.00 see liB" above .' Ne1<l, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or 1<Iith Service or Feeder Permit ~ $ 2.00 ~ not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge 3% ,Administrative Fee rrn'l'tT $ 40.00 $ 40.00 $ 20.00 $ 36.00 - ~ IX" __ I 11 !.=- . c. ~..;J. ~~r:::':d!