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HomeMy WebLinkAboutPermit Electrical 1996-9-17 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 . 97477 726-3769 1, LOCl\JION OF. IpSTALLATION -1'M'l Id'ffiA/4 or; . LEGAL DESCRIPfION /7~3'"?~ .<~. ~::2/S- / . r. ) JOB DESCRIPTION ' .. I .., 1'4- .ACCSSaJ (1E{l.b.J5. LJ~ IN flt1!'tk . 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 Eiectrical contractor' ~ ~ .' . .......- -/ i; Address Ci ty . Phone Supervisor License Number Expiration' Date Constr Contr. Number Expiration Date Signature' of Sup.ervising Electrician /" dy.-.... . "D, "Ovners Name L;f1!:~cjp)~-= Address /2~"":;> A~~~ -5';>--. , ~/ ' "" City ~~'~hone -?~~~2 n' / oJ!-o' ';' . OIINER INSTALJ1l6i - The installation is being made on property I ovil vhich 'is not intended for s?le, lease or rent. 07Ki11~~,' " ------------------~-~----------------, DATE: tJ9-/7J...~ RECEIPT if: 2;/~='. ' RECEIVED BY: ~~ , , /,/'. .. '---. ELECTRICAL PERMIT APPLICATION Ci ty Job Number 9&tJ951 3, COMPLETE FEE 'SCHEDULE BELO~ A~ Nev' Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft, or .less Each addi tional 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' Sum $ 85.00 S 15.00 $ 40.00 . $ 50.00 $ 60.00 $100.00 $130,00 $300.00 ',$ 40..00 C, Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps . 'Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80,00 see liB" above .' Nev, Alteration or Extension Per .Panel ~"'): ~ One Circuit V-- $ 35,00 Each Additional Cir~ult or ~ith Service or Feeder Permit I' $ 2.00 , ....0 ~. .E, Miscellaneous (Service/feeder not included) -Each installation ' Pump or irrigation '$ 40;00 Sign/Outline LightinV $,40,00 Limited Energy/Res $ 20,00 :' Limited Energy/Comm $ 36.'00 5. SUBTOTAL OF ABOVE "3 )~. .".,.,.. 5% State surcharge /', 8:'S - 3% Administrative Fee ' / . L / TOTAL' . ~ 9'~ ,/h,_ . ' ,