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HomeMy WebLinkAboutPermit Electrical 1998-6-29 . . The following project 88 aubmIHed Mo 1M f~ zoning, and does not roquln> apeclIIc land u.. app,oval. I. Zoom '--'(')-'\. '$ 9747fet~-qq~ 7 2 6A~ Slgnalute \\ ""'" . , 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION '00 .-c...rawn <<0...0< Ilk,!. 'Vr'''1I,,,,{J_ LEGAL DESCRIPTION ffln..,D I:/r 17 -"7, -I 'f.5 u) '1.1.x l-D'r H-Ioo/J JOB DESCRIPTION UA011"f -(r(~, "A'II'AN_ 6..."n=rc Permits are non-transferable and expire if york is not started within 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor-'R.,I.t( t:.L..c I" ~ Address po ~oJis.,- , , " , - City , ~"'I\L"" Phon.(~o3} ''''3. -~S"t. Supervisor License Number ~7 ~ ~ Expiration Date {oflfty Constr Contr. Number :J.4./:J.1c... Expiration Date I a/' I '1~ BoB " ~'7"'S" '112.1./.. Signature of Supervising Eleclrlclan iK~~n Owners Name .<)", '( J-v Address~.2._l., C i t y "'Y'/?, Phone OVNER INSTALLATION The installation iS,being made on property I own which is not intended for sale, lease or rent. ATE: RECEr'PT *: ' RECEIVED BY: -- ~------------ /~/2-9 2.$ ; ~~ (f) ELECTRICAL PERMIT APPLICATION (;1. tv Job Number 3. COMPLETE FEE SCHEDULE BELOV 7SD C:.o z.. A. New Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cos t 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 Ser~ice or Feeder ,$ 46.00 B. Services or Feeders Installation, Alterations or Relocation: $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 /~.oD 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 C. Temporary Services or Feeders Installation, Alteration or Relocat{6n ~ 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 ,/ $ 40.00 $ 55.00 $ 80.00 volts see liB" D. Branch Circuits above Nev, Alteration or Extension Per Panel " One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit ~ $ 2.00 ~ao no t included) E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res ~ Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 J~t9.~ 7 . - ;'I.n.." '" .,c..t ~"-'-"" '2-30.- /(.5'0 ~rO_ -' :2f!> :liP