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HomeMy WebLinkAboutPermit Electrical 1996-1-18 . 'c\ submitted haS the , The tollowlng prOle ot ~quire specific lend u zoning, and docs n .pp,oval" 7J) U Zonll\g 225 FIFTH STREET e ' <b- SPRINGFIELD, OREGON 97477 Dol INSPECTION REQUEST: 726-3769J1horlzad Signature OFFICE: .726-3759 1. LOCATION OF INSr~~ION '134 111/ C'KeMz,'e (f~f Dr, A. \1~~PTION 0\(1)3 JOI} DESCRIPTIQN ~f-.t'veo ell'''W''{<...Q Permits are non-transferable and expire if york is not started wi thin' 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Con tractor_/3\rwl Q...c1 ( Ehft' Address q(l~ 0 L I W~ City (' Lw.QM..JI Phone J'flf-y).n Supervisor OLic~nse Numb~~mc:t ~ Expiration Date C\=1V\.~~ l~'(ti 1) . . C. Const.r Contr. Number G 74 / S; Expiration Date 7 -,.}. - 97 Si~~iSing Electrician Ovners Name G eA.. 0 /l/A ~A~ Address 3,~ '11 R'\J~I( ~ 1'lAf~ J VOl , Ci ty C:IA..~"" Phone ~(J~ ,9'3'1'( v OVNER INSTALLATION , The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE~------------lI.-,~:L1tr;?-~-------- RECEIPT #: I' L, - ~rl\C '-' RECEIVED BY: If\l/ JlA~/ - ,- ELECTRICAL PERMIT ~LlCATION ~t7f .. Ci ty Job Num~er, ~~\ '?-9\ \ 3. COMPLETE' FEE SCHEDULE BELOY Nev Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular, 'Dvelling Service or Feeder 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 $ 85.00 $ 15.00 $ 40.00 $ 50.00 .' $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" .above , .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith 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 cSJQ,.~ Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ,[)n,cD 5% State Surcharge - '(. P J 3% Administrative Fee .\nr) TOTAL 4\ .keJ