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HomeMy WebLinkAboutPermit Electrical 1997-4-4 . The following project cs Gubnf' -d 1--..... ,_,. . zcni"g, nnd dOCG not require' ~'-,~ci :... ~f .~l., ......Jo..;:m. B:.-proval. ..... ..... ..1.- '-~ Zenina l.- D fl 97 fi~o-'f:- '::f::j:] 7i6tt.3fl69 Signatura tv M 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION t c;L/G, M ct<~Y\d~ (",eo;; D'f'. LEGAL DESCRIPTION I 70 3::r,~/( 10 5q{)iJ r ,JOB DESCRIPPiON \ .......~'I'-f>n J-"\I'elJ,1.R..I1 Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. Electrical Contractor_11 \I'a~~(' ~.~,' Expiration Date Constr Contr. Number (07lf/5; Expiration Date 7-1;) -9' 7 Si~~~ViSing O\<lners ~:me hA /;;:I/~ Elec trician 'I J'~ 'f ~ H tvie 'fgS; -3/ 7" Address J~?J R/v-eV" City PA:J..o~Phone J OYNER INSTALLATION The installation is being. made on property I O\<ln \<Ihich is not intended for sale, lease or rent, Owners Signature: ~~~~~-:;rt16~i~~----------------- RECEIVED BY: '-1. . f/i1.lJ..--- ELECTRICAL PERMIT APPLICATION City Job Number q lo (77) 1-- 3. COMPLETE FEE SCHEDULE BELOY ~ )'0' , Sum A. Ne\<l Residential-Single or Multi-Family per d\<lelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or ModularD\<Ielling Service or Feeder S 85.00 S 15.00 S 40.00 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 S 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 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 "B" above D. Branch Circuits Ne\<l, Alteration or Extension Per Panel One Circuit Each'Additional Circuit or \<lith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm no t included) ')(7 $ 40.00 $ 40.00 $ 20.00 ;;:.L.o~~~ $ 36.00 7-0. 00 I, () v , l/J_V ')-'-:.10 U 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL