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HomeMy WebLinkAboutPermit Electrical 1995-12-29 . SP.GFIELD Thi<!~~~~~*~~ "Q. Uiring, ,;ii1d COGS not roquire sp'adfic "land: "Lis ~ 225 FIFTH STREET approvaL ELECTRICAL PERMIT~PLI~~ry SPRINGFIELD, OREGON 97477 Zcnlnn C',C ~ \/ INSPECTION REQUEST: 726-3b~ I ~1~11'l5 - -. City Job Number 0~ OFFICE: 726-3759 j Authorized SI9n&lure '&-o:OMPLETE FEE SCHEDULE BELOY 1. LOCATION OF INSTALLATION bcA-eUJ'j ~c.""K 1012.4 HcrlD..JY<oc;cl. . ~GAL ~CRIPTIglj,_,... \ r"JO':>9.? _ t'{L:5J') JOB DESCRIPTION \I'\S\7.\\ DI F{'.re{'."-,\.1",cl.i()j .si~(\ 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 Elec trical Con trac tor ES or A .l'iVe.. Address )Z10 O.AKPA1L.~1 RCl Ci ty rV3We., Phone 4B5-SSY\P Supervisor License Number SCfO 31 b Expi ra t ion Da te le-::l-: 9c.._ j Cons t r Con tr. Number 9 S 7 '12- Expiration Date 1,.;.....\-91, Si~~S~lectrician . U Owners Name Pv 00\(\5 (.-/' G\(..lC00 Go. Address -{I. C), (bo--J.. (.yD Ci ty Ple,c.. sun-\- \\,\ Phone L.l9,4-5'1~5 OllNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ---------------------ihfT~~-~ DATE: ~ \0 ..... RECEIPT II:. -_ -I. RECEIVED BY: )\b. A-/ A. New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sQ.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 unit. Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 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 volts D. Branch Circuits $ 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 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting---1-. Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE. 5% State Surcharge 3% Administrative Fee TOTAL $ 35,00 $ 2.00 not. included) $ 40.00 $ 40.00 $ 20,00 $ 36.00 49.00 . Y.O--I (.Zc,..l. 4-~ .1J./ ~