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HomeMy WebLinkAboutPermit Electrical 1996-8-28 . Zonina (' J ) 225 FIFTH STREET SS 1. - SPRINGFIELD, OREGON 97477Dffie . '5!,.q/fi INSPECTION REQUEST: 726-H~~rlzed Signature OFFICE: 726-3759 1. LOCATION OF INS;rALLATION .L1 j 1// I /.hdoU/./'-# J10~mON 10l'5XJ , JOB D~CRIPTIO~ ~ t A\ <,~;t/ vtf'Uu / ~\ _ IJ Permits are non-transferable and ex 're if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~f:) t:Lec-~~~c I3k.J&~ Sf Phone fvr1!7-:;17o Supervisor License Number 3<!7 ~ ~ Expiration Date }()J, fqj- Constr Contr. Number /O,/iJ)"q Expiration Date liNN? I ' Sign~t~:L ~~ian ownerJName ' . 7-(/ " ~) Address (7C;-r:o cu.e;~_ City " City Address The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ---------------------~-~~~~- - - DATE: .' ;1("'}~YL RECEIPT f: ?--... // I - "r>..-/ RECEIVED BY:)~ ~ J -LY L fa""",,,! ~ .. 'alL,) 3. COMPLETE FEE SCHEDULE BELOV C1lo 114-C1 A. New Residential-Single or Multi-Family per dwelling unit. 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: \ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 ampslvolts Reconnect Only C. Temporary Services or'Feeders Installation, Alteration or Relocation i 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 "B" above D., Branch Circuits New, Alteration or Extension Per Panel One Circuit / '$ 35.00 6?~~ Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation SignlOutline Lighting Limited EnergylRes Limited Energy/Comm not included) , $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 5% State Sur~~ge TOTAl. 'Cl~ :3S-- _~/!.C 1.05 'Ol.&)