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HomeMy WebLinkAboutPermit Electrical 1995-9-20 - 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REOUEST: 72'6-3769 OFFICE: 726-3759 3. 1. LOCATION OF'INSTALLATION ;7~ q. _/.-K/.7'JJC//~n~..k ~?" A, LEGAL DESCRIPTION /7~~--(~'~- ~///7 JOB DESCRIPTION ./' ~ T P.-?'f L../ 4Z"',~<P4c.. :?I'c.. r' - -. Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. . , 2. CONTRACTOR INSTALLATION ONLY Electrical ContFactor INFloVrt'r'IECtSc:r#l2I'C ELECTRICAL PERMIT APPLICATION City Job Number q5~'::;--~~ COMPLETE FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dvelling Service Included: It ems 1000 sQ,ft. or less -~ach additional 500 sq. ft or portion 'thereof Each Manuf'd Home. or Modular 'Dvelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: uni t. Cost $ 85.00 '. "$ 1;;.00 $ 40.00 Sum Address :;l '33;2.;:2 N.E l'?9---,u~ ~ 200 amps or less $ 50.00 Ci ty ~tAS'" ,(; ~,no. 201 amps to 400 amps $ 60.00 Phone '3(;.0.':;84- li'"..(-8") 401 amps to. 600 amps $100.00 VJ'" 601 amps to 1000 amps $130.00 Supervisor License Number ';l(.p~7. S Over 1000 amps/volts $300.00 '3 oc> ~ Reconnect Only $ 40.00 Expiration Date 1"- 1"5 Constr Contr. Number g~02<< Expiration Date /0-"'75 ;i?/:;iZising Electrician ~ers Name ~'p;r~~ ~~~ Address "3~ ~~ ~. City ~?~q)}?)'hone ?_~-~crW OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended ~or sale, lease or rent. Ovners Signature: --------------------------------------- DATE: 9. ~.~.s- RECEIPT fi: /~~P 1lF.f:F.TVF.D IlY: r;;~'- 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 .' Nev, Alteration or Extension Per Panel 5, SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 'i/~ One Circuit Each Additional Circuit or vith Servic~ or Feeder Permit ~ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40,00 Limited Energy/Res $ 20,00 Limited Energy/Comm $ 36.00 ~s _eo - / -3. SI'~ .-.7 .:::> Y ;?7~' If'; V