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HomeMy WebLinkAboutPermit Electrical 1997-6-12 . OlPRI.IELD The loll owing project as submitted hes th ,ZOI'ir.g, and does not requiro specific lun ap:;-roval, " Zonin<:l lM \ 225 FIFTlI STRJ::ET Dcte [I l,.z.. Of:1 SPRINGFIELD, OREGON 97477 1\ INSPECTION REQUEST: 726-3761.1uthor\zoo Slgmllu:e_ M OFFICE: 726-3759 r.i tv .lnh N'lImber ELECTRICAL PERlUT Al'PLICATION .q ? /.J <;':2 t? COMPLETE FEE SCHEDULE BELOV 3_ ~!f~!fO~~~~f{Q\O~Lu.)'f.~ q /1 qG~ D~S~Ojl. I __ JJ l)':.I, , ~ 11..11..!.L.lli1 '?F:rl)~m~'iS TF n:. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cas t Sum 1000 sq.ft. or less $ 85.00 Each additional 500 . sq.. it or portion thereof $ 15.00 Each Manuf'd Horne. or Modular 'Dwelling Service or Feeder $ 40.00 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 ~_ Services or Feeders Installation, Alterations or Relocation: Electrical ContractorSecureCom,lnc Address 1126 Gateway Loop. Suite 122, 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Rec.onnec:::[ Only Ci ty Springfield Phone 988-3585 Supervisor license Number 794JLE Expiration Dace 10/01/99 Constr Contr. Number3-353CLE $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c~ Tempo~ary Services or Feeders Installation, Alteration or Relocation ~ -;;rr --r -..... ("'l/,,\c1rOCr':\'c.. I\~ _D. Br!l!!s.!J Circuits Owners Namel-'l""U Ill.. rr L...C. HUIU('(\f\TI UI "\ Addresftc9\ \{\\f::.~l\~T'c<\PtLu.J'f.~ew, Alteration or Extension Per Panel , (){1 .f'\I-r. 0 One Circuit $ 35.00 Ci tY'"1t'V'\l1 ur\ r:L! Phone Each Addi t ional - Circui t or wi th Service OVNER INSTALLATION or Feeder Permit E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 LilDited Energy/CoIDID \ $ 36-00 ~,c() 5. SUBTOTAL OF ABOVE t 1:Jl.P. CO 5% State Surcharge I. ~6 3% Administrative Fee I. 013 _ TOTAL ~ <&. "t.~ Expiration Date 10/01/97 200 amps"or less 201 amps to 400 amps Over 401 to 600 alDps Over 600 amps or 1000 Signature of Supervising Electrician The installation is being made on property I own which is not intended for sale " lease or ren t. Owners Signature: ----------------------~ DATE:_ ~Y<-"2;:> """""'....n '''_ 7~/e;,~ RECEIVED BY: . ~ . volts $ 40.00 $ 55.00 $ 80.00 see "B'l aliOVe $ 2.00