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HomeMy WebLinkAboutPermit Electrical 1996-4-11 . SP.GFIELO The followfng prolad all eubm~ Mlll"',~ wll9. zoning, and cIoe$ no! reqwre ~il\Q l;>,~ \l6Q approval. Zonina ;:frO f2-, 97477 DBle~ _ JJ 7i6-:W.g~r1zedSlgnatu"' r r-- r;." T9b Number I 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. ~~~ O\l~ThLA~ / \,Lffl_~ON f'{) \D \ JOB DESCRIPTION Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. ELECTRICAL PERMIT APPLICAtION (\\rAt~ ..i< ~ " 3. COMPLETE FEE SCHEDULE BELOII A. Ne" Residential-Single' or Multi-Family per d"elling Service Included: Items Cost Sum 1000 sq.ft. or 'less $ 85.00 Each addi tional 500 ft or portion ., sq. thereof $ l,5.00 Each Manuf'd Home, or HodularD"elling Service or Feeder $ 40.00 \ , 2. CONTRACTOR INSTALLA~ION 0 Y, B. Services or Feeders _ '/.1 ,~/~/' Installation, Alterations Electrical Cont~acto: /~~~Cd~~~ '01' Relocation: '. The installation is being made on ~property' I o"n "hich is not intended tor sale, lease or rent. Ovners Signature: ---------------':7~;~------,---------- DATE: ~ J:tP RECEIh iI: . ...;;;V~~ RECEIVED BY: ~ 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps. $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 D. Branch Circuits Address A/5.. /0 t'? Ci ty ~/7/ ~dl Phone ?2?:--5'J'o3 Supervisor License Number 2~;/,t C Expiration Date /o~/ /7? /' /' . Constr Contr. Number 2o-/;l2C Expiration Date /h /c;/ /7 t , ,.,Sign~$~lectrician , - / /; f\" 1\ ,ovners Name..J.:U A II. , ,,'Address \ \ () .l?) (\1' L .::: ~ity , toaQ ~<L_Ph ~e lo_~ ."tun 01lNER I~TALLATION $ 40.00 $ 55.00 $ 80~00 volts see "B" above Ne", Alteration or Extension Per Panel .- One Circuit J $ 35.00 J~.Q:>. Each Additional Circuit or "ith Service t.tW or Feeder Permit ?. $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~~ ,,17 +'7./2-