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HomeMy WebLinkAboutPermit Electrical 1998-6-19 -. '--.. . , ',oing, and doee not requlre epecIlIo lend WlO ~.I.lproval. Zonino I rl ( Dal~l Iq\ It L 225 FIFTH STREET ' SPRINGFIELD, OREGO~SIgnalllre f\ \'VI INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF/INSTALLATION 761& ?l4t:-/R'/t ~/IIG LEGAL DESCRIPTION I g tJ 2." '2 :z. 3 b03-~{) JOB DESCRIPJION J Ilr Elen:.-rfud &J: II><I'J '-I~ I Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address Ci ty Phone~'NOp.\<. Mo1\Gt.", \:.~?\P.E \1" \ 01 Supervisor Li"t"ltns~~~I\\.\. : rE~~1i IS~ 1\'1IS? t-IO\:.R 1\'1\:> fOR Expiration Dat:Clil.l()?llcO\l ~I\IOOt-li.tl f\' CEOOl'l,G C. Cons tr Con tr. l!YO~ {~~~\('\tJ, ~N'( ,el\ul( Expiration Datl~ Signature of Supervising Electrician Ovners Name /~" t:hrv d.A" fZ-. '" ;6 .i"-;U~ Address '/0 ~ 6' r;/.;c /:-v- {};.-,~ Ci ty ~4),,~,h'e{rl Phone 7Y';::~ 3/ f c/ -/ u ,I OVNER INSTALLATION The installation is being made on property I ovn which is not intended for sale, lease or ren t. Ovners Signature: ,~ __ ~~~__~/6?-~~ --~--~-----~t~l'--------------~------- DATE: 6 Iff f(r RECEIPT jf: '0 ~ i'7 r /1 RECEIVED BY: Ai/.. WM;o// , ELECTRICAL PERMIT APPLICATION City Job Number 9?(' 70ft 3. COMPLETE FEE SCHEDULE BELOlI A. Nev Residential-Single or Mul ti-Family per dvelling uni t. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular '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 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 $ 40.00 $ 55.00 $ 80.00 see liB" above Branch Circuits .' New, Alteration or Extension Per Panel ,One Ci rcui t / $ 35.00 jr Each Additional Circuit or with Service or Feeder Permit 1.-- $ 2.00 37- 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 $ 36.00 5. SUBTOTAL OF ABOVE 31; ~ 5% State Surcharge I. ~~ 3% Administrative Fee J J I TOTAL "3' "j. "1 b