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HomeMy WebLinkAboutPermit Electrical 1995-9-20 _. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATIO~ OF INSTALLATION / _......:: . 9/~ /1f/~t?'~ /~~ LEGAL DESCRIPTION /~-:/"9-~_ ~//~? 97477 72"6-3769 . JOB DESCRIPTION . . C"lVa(.~ 7;I'!.If lJld.f'S. .- 5,,('1/'<"5 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 Contl!actor IHAvlrr GUC7€!<. Address ;;l.~3~~ Nt ,tA"".f1J.u ,e.:>, Ci ty BR<J.iJ-/ rr4d,'(. Phone 3I4o-"M' 'l1fs Supervisor License Number :J. r., 8)-5 Expiration Date /O-1'S Cons t r Con tr, Number 3 &,;/ g g Expiration Date /0 - '15 Signature of Supervising Electrician Ot<<) /Ztg- ovnJs Name S;;CA-,</ E C~e.P , Address 34-05 R.4WY LN, Ci ty .')'/)rbv~/'-!/ Phone /~0-,f4<t4 r OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended ~or sale, lease or rent, Ovners Signature: ------------~-------------------------- "7-~-.,::r- /'9~ .~~~ DATE: RECEIPT #: RRr.F.TVRO BY: ELECTRICAL PERMIT APPLICATION Ci ty Job Number ~.a::> c:;;- 2.L 3. COMPLETE FEE SCHEDULE BELOII A, Nev Residential-Single or Multi-Family per dvelling uni t, Service Included: Items Cost Sum 1000 sq, ft. Or less $ 85.00 Each additional 500 ft or portion '. sq, 'thereof "$ \;;,00 Each Manuf'd Home. or Modular 'Dvelling Service or Feeder $ 40.00 B. Services or Feeders Ins talla tion, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to. 600 amps $100.00 /30 ::..=. 601 amps to 1000 amps--!-- $130.00 Over 1000 amps/volts $300.00 <3.1 --' Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80;00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits " Nev, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or vith Servic~~ or Feeder Permit 1(, $ lj>'D 2,00 ~/- E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) $ 40,00 $ 40.00 $ 20.00 $ 36,00 5, SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL .d::.fk 0 "'.. I3lS /{:;7-y