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HomeMy WebLinkAboutPermit Electrical 1997-4-4 J~ df::-- L(l~ v SP.F'O;:LO Tho fol1owin0 project as submitted hc.3 th ~ fo:towil zoning, a~d does not roquire siJcciiic l...ll..i u.....J approval. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Zcning et 974 l'pta '-I/H 11/1 d J 111/1 7 26;,3v,69.ed signatura.-L:1::1 f \ ELECTRICAL PERMIT APPLICATION ("..q.<-Job Number l\l~ 3. COMPLETE FEE SCHEDULE BELOII 1. LOCATION ~INSTALLATION 1~~~~G A. Nev Residential-Single or Multi-Family per dve11ing unit. Service Included: JOB DESCRIPTION " , ~>-"l-Y'\~ ~.J _ (J1\rJ\ \"),,-t-ncd-6t\1LQ Permits ar non-transferable and explre if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. Sum Items Cos t 1000 sq.ft, or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modu1ar'Dvelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders .~J f ~ , II Installation, Alterations Electrical Contractor..l:j1 ~ QYlI_r (~~r Relocation: Addresij/);)() ~.J.) ~J1'Jin.L [)V, 200 amps or less . - 11 I I I '201 amps to 400 amps Ci ty f;)1 tuJ(.J.T11Y{ one (p '1(P -()c::.;=::,3 401 amps to. 600 amps . . . 601 amps to 1000 amps Supervisor License Number ~(~ Over 1000 amps/volts ) 9 Reconnect Only Expiration Oate 0 -/ - '7 '11 z.~<2 Expiration Date 4~~o-'11 Si~ superv~~ . ~ - ('\ D Branch Circui ts OvnersName .~O ()-\- Dr~- Address 'O\QW a-o.:lliuAD Ci tll ^ )U..li ~one-...J k~Rl{;;STALLATION Constr Contr, Number The installation is being made on property I ovn vhich is not intended for sale, le,~s~ o.r ren t, ':; , Olffiers Signa ture:, , , ~~~~:~-:~~-----I-------2t~~~~---- nl-~r.F.TVF.D BY: ~ ~S\~2-- S 85.00 S 15.00 S 40.00 S 50,00 S 60,00 'S100,OO $130.00 .S300.00 S 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 volts S 40.00 S 55.00 $ 80,00 see "B" above .' Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or' irrigation" Sign/Outline Lighting Limited' Energy/Res, Limited EnergylComm One Circuit Each Additional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL S 35.00 $ 2.00 not included) y $ 140,. o,q $ .,.1.0,. 00 $ 20.00 $ 36.00 , ,I . 1 3<". en) J,'t;U ) ,;?, ::2,~. q:-. 3~,Ob