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HomeMy WebLinkAboutPermit Electrical 1996-9-3 . spA FIELD The following prc;<.ct o. aubmlttod ~ tho follov zoning, and doe, not roqulro 0"",,1110 land uno approv~illfl fl.~ 225 FIFTH STREET D.te . I -~--1 ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ~ INSPECTION REQUEST: 726A~~edSlgn.turtl . rhy -lob Number ~O//'9' OFFICE: 726-3759 " 3. OHPLETE FEE SCHEDULE BELOY 1. nLOCATION OF INSTALLAT!I}N I :37,/7 ;rhh(lt')h It'd, A. I'?~S!.- ~-&>"", r:;1>e!> ~&:><::5 ;") LEGAL DESCRIPTI.QN , f\o-..v W~e-r- t"vlMf)l""3 ~I~r- JOB DEScry:I,'TION 'Bel~ 1 t>/O-NlT Add 'i~ ?u ~ Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. Electrical ContractoYlh1l/) /I~f ;:;#;~ Address ~/Jd /// ~ bf , \ ' City ..c/./f';PhL- Phon~ t?,?~ol3b,j- Supervisor License Number 3;J JI.) 5 Expiration Date //J -1- 9'R Constr Contr. Number d/J-/t!..\,(!" Expira,tion Date /()-/ - q ~ *Z'f~7 Owners Name / /.tJ c./1 Address,SOV r. '1t~ ~. Ci ty hArp /l e. Phone O\INER INSTALLATION " The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: o/'1'~~r:- RECEIFT #: ~6~C/2 RECEIVED BY:~~~ /"' New Residential-Single or Multi-Family per dwelling unit. Service Included: ~\ 'W . ,,\ Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular .Dvelling Service or Feeder $ 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 " $ 50.00 -2{)(21'J() $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D, Branch Circuits " New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permi t IL, $ 2.00 1':/, tXJ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE n?/;? 00 5% State Surcharge /t? ~I!'J 3% Administrative Fee ~.i ~ TOTAL ~ ql'~