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HomeMy WebLinkAboutPermit Electrical 1997-8-19 . SaGFIELO The,following projOt;t as sub . zonJng, and does net r"qulf mmed, t:n.'3 the fOllowing approval. e sPGClflc I:tnd u.so Zoning. \ ~ ELECTRICAL PERMIT APPLICATION 974.Pf:.t."-=:.--' q - <17 72~-3769 . f\ 'U"'VJllcd Signotlt{~_LL(Y1 .3.1 COMPtETE-FEE SCHEDULE BELOY 1. LOCATION OF INSTALLATJJl!:! . 5'9P /::n-.4.A'/7'& .PC . A. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ~?//b9 City Job Number Nev Residential-Single or Multi-Family per dvelling Service Included: uni t. LEGAL DESCRIPTION ./?lo~'3s1-/:Z_ /~..e;tO Items Cost Sum 1000 sq.ft. or .less $ 85.00 Each additional 500 ft or portion " sq. thereof $ 15.00 Each Manuf'd Home. or , Modular .Dvelling Service or Feeder $ 40.00 JOB DESCRI~ION ~ ~~~(If1} r~ /-.1=.:>. h~ , 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 INSTALLApTION ONLY B. Services or Feeders __ /.// _/ Installation, Alterations Electrical Contl'actor /#<<<t- Co ~ /C-C:/PIc;.or Relocation: Address /tf/.O. /0 t -;' 200 amps or less ? / a ...3 201 amps to 400 amps CitY~rl'//?lL-,n{/Phone--:?2t-/3tJ 401 amps to 600 amps ) ., 601 amps to 1000 amps Supervisor License Number 2!...-? 1 .r Over 1000 amps/volts / Reconnect Only Expiration Date /t?/tJ/ /9 1 . /. , Constr Contr. Number .:;J{).-/ /2. 'C /~/d/ rt Super '. ing Electrician ~A/ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation C. 200 amps. 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80~00 Over 600 amps or 1000 volts see "B" above Expiration Date Branch Circuits D. , ,- Ovne s Na e ~Q'" ~~P""" I . . - - Address ~&> ~~_/~"'p1: . .' Nev, Alteration or Extension Per Panel $ 35.00 "?~~. One Circuit I Each Additional Circuit or vith Service or Feeder Permit City ~ Phone $ 2.00 OYNER INSTALLATION 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 ~ ~ ~~__ 5% State Surcharge I .:?:;. 3% Administrative Fee /.t::)$'- TOTAL ~~. ~ The installation is being made on property I ovn vhich is not intended ~or sale, lease or rent. Ovners Signature: --------------------------------------- 6.~-9-:> -<? p '=1 ~./_~ . ,/- DATE: RECEIPT jj: RECEIVED BY: