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HomeMy WebLinkAboutPermit Electrical 1995-9-21 S...IINGFIELD 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number OFFICE: 726-3759 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 2. -- CONTRACTOR INSTALLATION ONLY -- -- -B. -- Services or Feeders /1 ~~JJ~/~~ ;nstallation, Alterations or Ele,ctrical Cont~act()~.l J2AYV1/) Lk/'~ ~_)/,.elocation:__ _ _ . Address.!}d-{~ tvnra Ad 200 amps or less _ -c _ 201 amps to 400 amps Ci ty (J .A()~ Phone~;);:)..JJ 401 amps to 600 amps 601 amps to 1000 amps Supervisor License Number ~tf()(jt/~, Over 1000 amps/volts }I? Reconnect Only Expiration Date .3 7t? Constr Contr. Number c'1;59oC; ----;;yqlp 1. I\~OCA~O(}OF INS(!L)fTION II _' . nZS7:... >:1/TlIV) (k<)W ~ LEGAL DESCRIPTION JOB DESCRIPTION ' tiil;;, l"YrJ.l//.LW ' ? ph(/){ 1 , f}~ Permits are J.:n-transferable and'expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date ~;;~~ 'fcl;;~.< <1.""".. ers Name ten VI /!(}/;@v Address Lf:J..( 5 J::..uv7ccu:01 Ci ty [LA. ~ Phone 3Lf1I-:Jd-7/ OVNER INSTALLATION The -installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: e _. ~~~~:-- / ~2r::..- '10 --:-------------- RECEiPT #: U i .:; (/1 ~/ RECEIVED BY: N . YltI 3. COMPLETE FEE SCHEDULE BELOV $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 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 D. Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see 'IB" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limi ted Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) I $ $ $ $ '7 ()-iJ ./ O. I . 150 __ &0 ...?D. OU 40.00 40.00 20.00 36.00 c:.. / .~O