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HomeMy WebLinkAboutPermit Electrical 1997-3-27 _n. 225 FIFTH STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 01 I 7er INSPECTION REQUEST: 726-3769 Ci ty Job Number c( I () 0 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 35SS G:>/-P,.J.J':I! i ~63?~rrfrW3 JOB DESCRIPTION in,<;+a/I <)f'r"UY'-fy Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 3. COMPLETE FEE SCIIEDIILE BELOV A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: ' 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Items Cos t Sum $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor,Sonitrol Security or Relocation: Address P.O. Box 21009 Ci ty ~I-' uene Phone 461-5678 Supervisor License Number /(;,j1 f'e T Expiration Date II) - / - qq Constr Contr. Number 65149 Expiration Date ,7-2000 Si~e o~~~vising ?;:;(~ Electrician 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 Ovners Name Prt'i11if'Y AuJn (;10<< /:S J- 0esf ([If<.f/VL Addres~n1.f' Ci ty t: UgR,f\ e... Phone 342 -37dd OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ~A~E~-----:s1;2~1Lf 1'---------------- - ' RECEIPT #: j " ().]':--..OlfJ n RECEIVED BY: ^', vf) I^-- , I 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see IIBn above D. Branch Circuits Nev, Alteration or Extension Per Panel $ 35.00 One Circuit Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm --1-- $ 36.00 ~ 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ,~..,<n> - " So I 01$ .~~S8