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HomeMy WebLinkAboutPermit Electrical 1996-1-2 \' . The. following.projAct os slIbmlttod h,o tll zoning, end aoes n~ require sp.::...:,'i.....I..' approval. ,......,.... ....11.. ..;;,~ Zoning d 1)!2-- 225 FIFTH STREET DnrsJ- 2. -c, [; ELECTRICAL PERIIIT APPUCATION SPRINGFIELD, OREGON 97477 .' - . INSPECTION REQUEST: 726_3769'utllOlia" Si9nature_~._C5 tv Job Number 9,?; ~ S<' OPP;'CE: 726-37~ ~ %> . . . /f("t!'~.AO t?o/' ./~p o~cOE<~, . COHPLETE FEE SCHEDULE BELaY 1. LOCATION OF INSTALLATION ') _ . s;:2,~< Hc4);:>~ {"7~ ~ A. New Residential-Single or Hulti-Family per dwelling unit. LEGAL DESCRIPTION Service Included: /?'tt>1...::t?7~ O/c:::>c>b Items Cost Sum ,..lO~,~.!2ll -;77 ~ cL=-<-r ~ /-~p /~)'7~~- Permits are non-transferable and expire if work is not started wi thin' 180 days of. issuance or if work is suspended for 180 days. 1000 sq. ft'. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home, or Hodular. 'Dwelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY .B. 'Services or Feeders Installation, Alterations Electrical Contractor LIIAfT2.... Et'.ECTlC(C,. or Relocation: Address3fo"'ZC, 'CE"OI'\-R- M-lLL> Ci ty Pu:;"l1SA-\.JT ~"l ~hone 7 2(,:, ~57 Supervisor License Number 3,1.\. qz... S Expiration Date 10/ ,I q.s- Const.r Contr. Number ;;r41o 7 '1 Expiration Date 7-('-\. -C'(&, /' ~~: ;r4fing Electrician Owners Namej9/~;;>F?5 ~~/ D~ Address '3 99 ~ l? /V~~ h/.N'7.!$- Z?{ . Ci ty &~~ Phone t./H'5'- '3/~ OVNER INSTALLATION , The installation is being made on E. property I own which is not intended for sale, lease or rent. , Owers Signature:, -.-------------------------------------- DATE: / -;2.. "'~~ RECEIPT #: /&J'''!? sri? _ RECEIVED BY: ' ../ -?~ . 200 amps or less J 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 ;. 5"29.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above , " .' New, Alteration or Extension Per Panel Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Addi tional Circuit or with Service or Feeder Permit ,~ 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 " $ 2.00 I12i: " . not included) . !. $ 40.00 $ 40.00 $ 20.00 $ 36.00' !bD" 6() '<:~ ;)10 .I:,~j.o