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HomeMy WebLinkAboutPermit Electrical 1995-11-3 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: . OFFICE: 726-3759 97477 726-3769 1. LO~ff1 O\\i9AL~fQI ~IY LEG:\-ff)lf5t~D r'J)9J[) IT . ~~~:,~~~.~ ~:~"~:: if york is not started vithin 180 days of issuance or if york is suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY B. Electrical contl.'actoS\Q~\-n ?~ Address.\~<70 ~~~1\t\. I St- ~ . City rl"'.O.~ ~one~\ supe~ense Number OC\\1.S Expiration Date \O.\.~':l> Constr Contr. Number L{1~a3 ~.?~,0\n Expiration Date Signature of Supervising Electrician rJJJG0 ~~ Ovners Name(~ N'no~ Address \2fle~(ll'~ ^, ~11('1:l-\t. C::4,"'OVe. ~a"t50 City II~ ~\ Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. OYners Signature: ~~TE~------~---7r--------r7~-~-- RECEIPT !:~I\"" .~ RECEIVED Bn-I )ULLA ~ \'-\~\""-- ~l . ELECTRICAL PERMIT APPLICATION qQ\~ l COMPLETE FEE SCHEDULE BELOY ~ Nev Residential-Single or Mul t i-Family per dvelling uni t. . . Service Included: Items Cost Sum Ci ty Job Number 3. A. 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 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 $ 40.00 $ 55.00 $ 80.00 see liB" above D. Branch Circuits .' Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Service or Feeder Permit ~ E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 1.Cl not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~D.~_ \").- . ~4 ~;r8