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HomeMy WebLinkAboutPermit Electrical 1996-5-10 . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LqCk,l';r;ON Of.. INST~'b.TIOL <tV'{ L q., ~\.h -k "\~ 0 0 .I \~~ffuP5~~~~?JX) ~CRI~ Permi ts are ~on-transferable and expire if vork is not started vithin 180 days of issuance or if,vork is suspenaed for 180 days.' 2..- CONTRACTOR INSTAL~TION. ONLY,., B. Electrical contractQr'J\()J(\\~~\lw Address \\'A.f) _ ~\M\ ~ r\~~ City f lOlD'\Q..... Phone11~l. \~ Supervisor ~cense Number ctL\~ Expiration Date \1). \ Constr Contr. Number \ C~\~ Expiration Date \'d.'~'0f5 Signature of Supervising Electrician ~~ \ Ollners Name ~\ m tn r-\ 0 r ~ ~bo ~ Q Address 0.\\ 0 Q~(\N''fthdJ0 City~G'L Phon;14-I'\O~ ~~ ~STALLATION The installation is being made on property I Olin IIhich is not intended for sale, lease or rent. . Ollners Sicnature: ~7.~~~---------------t5~T()-~t.;-----~- RECEIl'T II: -' fl!A.(") _ RECEIVED BY: --'si~ _tAlTI~____ .' SPRINCFIELD City Job Number BELO\I A. Nell Residential-Single or Multi-Family, per dllelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dllelling '- 1'\ Service or Feeder rx 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 Items Cost Sum $ 85.00 $'15.00 $ 40.00 3D' $ 50.00 $ 60.00 $100.00 $130.00 $300.00 S 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00, 201 amps to 400 amps $ 55.00- . Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see fiB II above D. Branch Circuits Nell, Alteration or Extension Per Panel One Circui t Each Additional Circuit or IIith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Lind ted Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL <61l. CD 4- ,DU 2. .<le0 ~Lo~