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HomeMy WebLinkAboutPermit Electrical 1996-5-8 -- . SPRINGFIELD ,. ";;I. OIlOWina pr . Zonmg and c: , OJ!:'!ct &~ $Ubmritid approv~J.' Oes iiot requird r,p;~;tt'-," t?e roL ..... , I /I C 'I.d uso Zon",. ~d../R Duta .~ 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 Acihorlz d S' I natura 726-3769 - 1. LOCATION OF INSTALLATION 22.~ 8t'-/~ LEGAL DESCRIPTION /?n ~ 2.<; .2./ C2L:J 9 eo JOB DESCRIPTION ~~ ~~ ~ A,M?&;,t) /----} , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name ~~)~Qf) Address.ffi\-. f\~ 0, Ci ty ~ \.~ Phone ~STALLATION t\~.4 q13 The installation is being made on property I own which is not~int]n:e~ for sale, lease or .Ai.~LI\~ ) Owners Signature:~ ~~~-!!=-~~=----- ATE: ' 'Cr~ .'-'\ lL? 1\\ j ""' ~ CEIPT #:~.. .) Ni\~0} RECEIVED BY: J.df..i ' - ELECTRICAL PERMIT APPLICATION ~dO /:)/ ....-.-/ r- Ci ty Job Number 7 fA Vo;;J"""cP 3. COMPLETE FEE SCHEDULE BELOY A, New Residential-Single or Multi-Family per dwelling 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 Dwelling 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 ~C> $ 60.00 $100,00 $130,00 $300,00 $ 40.00 ~~'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 volts D. Branch Circui ts $ 40,00 $ 55,00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 7 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 /7" not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~y "1.<~ j,q:> t!!:. 09. /"<..