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Permit Electrical 1996-3-28
:- . 225 FIFTH STREET Zoning C (b ! SPRINGFIELD, OREGON 97477 ~_~ <7::.-'1. /p INSPECTION REQUEST: 726-39'6~ - f) OFFICE: 726-3759 Aulhortzed Signature f1 ~ 3. C~MPLETE FEE SCHEDULE BELOY 1_' LOCATION OF INSTALLATION _~.. ~ II IYJlJltJ 5T"'-, \~0r01zQ} JOB DESCRIPTION / W~ A/E-V ''',..;.; . . ','. ~). Permits are non-transferable and exptre if york is not started'vithiri 180 days . .of issuance or if york is susp'ended for. '180 days. . 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor i,1t !t1II!$S ~/rcr Address-Af~ fJjEtL6f ~~. City. $PHJ, Phone 747-0((1 . Supervisor License Number ~o.o~~ S Expiration Date /0-1- qp Constr ContI'. Number olf?'3f?' Expi"ration Da~e .t,.,.f(, Cjf:, .W: The. installation. is.: beirig made on property.~ ovn.vhi~h is not intended for side, 'lease or ren t. .' . . .~,ers Signatu~e: '. , :' ... .,.'. ," .... .. ."' ...... . , , DATE: RECEIPT, i: . RECEIVED BY: . ~ -) .;!.li2., ~ . . ..... . . V.,,{. ...1\ O.'\r\ 7/\ L I() ;; CJ..}~ ~. - ELECTRICAL PERHIT~PLICATION City Job Number ~ldJl~ Items Cost Sum 1000 sQ,ft. or less $ 85.00 Each additional 500 SQ. ft or portion thereof.. $ 15.00 Each Hanuf'-d Home or HodulaJ: Dvelling Service or Feeder $ 40.00 B. Services or Feeders Installation,' Alterations or Relocati.on: A. Nev Residential-Single or Multi~Family per dvelling unit. Service Included: 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 $ 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 amp~ Over 600 amp~_or 1000 D.. Branch Circui ts $ 40.00 $ 55.00 $80.00 .volts..see liB" above Nev, Alteration or Extension Per Panel . . .. 'One Ci rcuit" .Each Additional' , Circui f'or vJth S~rvice . orFeed~r.:,~eimit' . $ 35.00 $ 2.00 not included) . Miscellaneous (Service/feeder -Each installation ru~p b~ {rrigatioh' Sfgn/,Outlihe Lighting' , . LAini te~ E'~eiiy'/Res . LIllii tiid.Energy/Comm . ': ';. ..'.. ", SUBTOTAL OP"ABOVE S%'State.surcharge . ..TOTfU..'.'. " '. ~. .'. . ":... \',.. -\- ?P'h' Mffi'\(\ Irl>.:e: . E. 5.. < $40.00 $ 40.00 .4"0"-=-- $ ,~O.OO $ :36;60 40~ -:2.~' 'I.~ +3"J.~'