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HomeMy WebLinkAboutPermit Electrical 1995-8-10 .. SPR.IELD -,.. "I jf'C .~s G'Ib ~l ZOn;l;g, ..:'~:! dl":'~' ;',. t ~rq'~. m. ted. ~QS tho tollo,,", ilppr.ov!:i. .. J. . 1I1,e GpoJt:rflc land Usa 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 20r.:"9 SL"1: D"I,,_.8- JQ~JjS NM Autho"zc' '" 97477 ,,~~ ""g"a;~ro 726-3769 1. ~r5E\O~~~~~ A. \\~pg<fl~ 0\\\1) JOB DESCRIPTION --- I~/ ,/L><..-r-V-- Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor r,VFIJVI 7'1-' E:t..Ct;;/'. Address ;;;i'33.;l:2 /v6. ~<o__ Rei Ci ty i?~c.lSrf f}-AI!!,i: Phone SO]. 31'3- St,/~ //VA. q8'~P~ Supervisor License Number 9(." 'iI?- ) Expiration Date J 0 - "15 Constr Contr. Number .fG..2:;; '8' Expiration Date 10 - 9'S Signature of Supervising-Electrician .. i~t;~~I0"~ Address-34C)~ \. m.c\~ CitY'...~n Phone~~~ '~TALLATION The installation is being made on property I 'own which is not intended for sale, lease or rent. Owners Signature: ~A~E~-------------1IJ.1f}~C1:~-~--~-~I~ RECEIPT 11: \ 1 - - ~\1f U RECEIVED BY: '\ \\J )(\.J . City Job Number ELECTRICAL PERKIT APPLICATION q~:D.o 3. COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Temporary Services or Feeders Installation, Alteration or Relocation ttD 1000 sq.ft. or less Each 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: 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. 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40,00 volts $ 40.00 $ 55,00 $ 80.,00 see "B" above New, Altecation or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 $ $ $ $ 4D.w .!.., Or) .I ~. 'Lt j ~:Jl )