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HomeMy WebLinkAboutPermit Electrical 1998-1-21 . ' ro followlnq profect os oubmllted has the following ZQI 09, and does not r9qwr& opeclfic land use approval Zoning (U Data.! -/1.:31, ~1JIZed Slgnatur~ n l'Y\ 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ELECTRICAL PERMIT APPLICATION ';1 ty Job Number 97DS2. 7 3. COMPLETE FEE SCHEDULE BELO~ 1. LOCATION OF INSTALLA~T:- 5'/%/5:" ~/'f-?'A.l , A. New Resldentlal-S1ngle or . MultI-FamIly per dwellIng un1t LEGAL DESCRIPTION t9+S"EH/ Serv1ce Insluded: --.L.$J2 ~~ ~ L Items Cost Sum JOB DE~ Ale #,{Jtj 1000 sq.ft. or less $ 85.00 E/Le( Each addIt10nal 500 sq. ft or portion Permits are non-transferable and expIre thereof $ 15.00 if work is not started w1th1n 180 days Each Manuf'd Home or of issuance or If work 1S suspended for Modular Dwell1ng 180 days. SerV1ce or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. SerV1ces or Feeders Electr1cal contracto-;B,-( ('S ~ 1.( :r. Installat1on, A1terat1ons or Relocat1on. 200 amps or less I-- $ 50.00 ~e..:ll:l 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 a OF'! 5 601 amps to 1000 amps $130.00 Superv1sor License Number fd t/ Over 1000 aals/volts $300.00 Reconnec"'."Qn"b $ 40.00 Expnatlon Date /0 - 9 q - .~()r:so ~(j c. ::~etar~~r&~es or Feeders Constr Contr. Number .;1./1 S' I .~~~"~~\XA~ratlOn or Relocatlon 'aa <;,\Y> (;),?Io' ~o C:) ~ Expnatlon Date tj- ~ f"'- ( I ,J.~a'~ '~-qef\\.fJ $ 40.00 !0~'2W~~~Sr-o ~'amps $ 55.00 ~. ature of su~e viSIng Electrician (;),?~(j o~~-f?-(lrI to ~60 amps $ 80.00 (A A / v>O>> ~v>">> ~. 600 amps or 1000 volts see "B" above L / /' ~'S ~~ "" - - .l':.4M~O~C:)'~~"" Branch Cucuits Owners Name~/'~ ~~____~____ ~- New, Alterat10n or Extens10n Per Panel Address 5'805" ,w~-f) ST" Ci ty ~~_, Phone 726-'7L.1i'f 01lNER INSTALLATION Address...1 r 70 /I~ W(5T City Phone , The 1nstallat1on 1S be1ng made on property I own Wh1Ch 1S not 1ntended for sale, lease or rent. Owner~Slgnature: ------------------7;--- DATE: tel-I( f"6 / RECEIPT Ii: ~"'" "'2 'i, RECEIVED BY: ~- .' One C1rcuIt Each Addl tlonal C1rcu1t or w1th Serv1ce or Feeder Perm1t $ 35.00 $ 2.00 E. M1scellaneous (Serv1ce/feeder not 1ncluded) -Each 1nstallat1on Pump or 1rrIgat1on $ 40.00 Slgn/Outline Light1ng $ 40.00 L1m1ted Energy/Res $ 20.00 L1m1ted Energy/Comm $ 36 00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Adm1n1strat1ve Fee TOTAL 5D.6O ?u?O I,f~ Ef~