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HomeMy WebLinkAboutPermit Electrical 1997-5-5 .. e, SPRINGFIELD , , " .",., . Th~ l...,II..".,.f"'Q r:-rh''''",:f E'.G stibmrttad h..,::; the folic '_' ~r,... c.:>,;.s not require sl}ecliic land US9 ['I- . ,i~ o..l.L .~ ELECTRICAL PERMIT APPLICATION City Job Number~Cf30st. ~~ . ' 3. COHPLETE FEE SCHEDULE BELOV * A. Nev Residential-Single or . , Multi-Family per.dwelling unit. ..", Service Included: ~ Items Cost Sum 225 FIFTH STREET SPRINGFIELD, OREGON 97477 :<")ni"g_ ~ Q..R INSPECTIONItEQUEST: 726-3f.-6?, 'iI-of L'I7 OFFICE: 726-3759 - -- -- 1. ALdnorized Signature LOCATION OF INSTALLATION~ 507 .J /7~~ S' /' ' l'rff~~~~ CX'rTf) JOB DESCRIPTION ~f') -4 S~c/"Uc' 'Permits are non-transferable and expire if work is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~J'F~/C-7'< . \:' ' Address Lj5-_<~;;2.. _c~~~ ~y / 200 amps or less 201 amps to 400 amps Signj/:f );7iutrician g~:~ ~g~ ~~p~O~r a~g~o volts l/ 41/; v D. Branch Circui ts Owners Name ~ /.: _~,-,- ...F.e-,(fgI1A~ 11\ (\ 1/ . LI. )IJl~...H:.'/New Alteration or Extension Per Panel Address AJ\ \' i.11ll..7i O'R Ul\ ,U~LU ' Ci ty snJJ 19- Ph:n~' 0 . ~~~h C1~~~~~onal '~-il ' Circuit or with Service OVNER ~NSTALLATION or Feeder Permit Ci ty ~ Pr=~ %71& 5:7Yd- /J'7/ S Phone Supervisor License Number Expiration Date /6'- '7.3 Constr Contr. Number~"d-:;;'..7 r Expiration Date /t:J -7:3 The installation is being made on property I own vhich is not intended for sale, lease or rent. Owners Signature: DATE~-----~-~--;-~~~~C1r,~~------- RECEIPT .: (f . ~.;z,I;::;Y RECEIVED BY( 7\lL U _-, ,- 1000 sq.ft. or less Each additional 500 sq. ft or portion' thereof ' Each Manuf'd Home or Modular Dvelling Service or Feeder $ 85.00 $ 15.00 $ 40.00. B. 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 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 6cJ.cX3 C. Temporary Services or'Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $ 80.00 see "B" above $ 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 Limited Energy/Comm $ 36.00 ", 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL . Fi(!) . 0 2> ~-:rO 5:-Vi'.~---r--;