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HomeMy WebLinkAboutPermit Electrical 1997-4-2 The,following. pro:ect cs submitted h1.s tho fo~ zOning, and does not requir.a ql3ciac I.::nd UJ' approval, \ - Zoni"" LDC? 225 FIFTH STREET Date Lf -L -'j7 SPRINGFIELD, OREGON 97477 Authorized Signetur JJI'Vl INSPECTION REQUEST: 726-3769 B. OFFICE: 726-3759 1. LOCATION Of INS:rALLATIONf /J '1c.,~ Me 1(.~Vl;U "" GJ....s .r I ~;Jllif!ff?;7oD . JOIj DESCRIPT}ON . .5-{--<A/'ea P'vc. &/'"",e. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY. .B. Electrical Contractor --TtteS/"d,"o .5-10",<:.. Address /07'7 (hI-ie..,. I?L.V....f t.Jc,y / Ci ty E:/?J'.-'L" Phone '3 'I..s--300 0 )' Supervisor License Number Expiration Date Constr Contr. Number Cl076(,~7 Expiration Date fJ/7-J/57. Si;;Z::/ ~ing Electrician o:ners Name 'AIM foc....} " IJ" 6 "'vi ,pE,> / +- Address..!,{; G {,(t!. City &j')-<:.~p_ , Phone 'I&-4~ ()070 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ,', , ~\ ~~~~~:l1~~~;~~-----------~ RECEIVED BY: X' . fl/l1A/'-- ELECTRICAL PERMIT APPLICATION Gi-t.y-Job Number -3 7 D tJ ~ 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling Service Included: It ems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular, 'Dwelling 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 Reconnec t ,Only ~. Cos t Sum unit. $ 85.00 $ 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' .'0. 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 liB" above ,. New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with 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 ~ Limit~d Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ]O.D[) 5% State Surcharge 3% Administrative Fee TOTAL