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HomeMy WebLinkAboutPermit Electrical 1996-12-10 Thf: to!1ow;ng project as submitted has the followi"ng Z()piflQ, amI doeG not roqulre specific land use, 225 FIFTH STREET a',~r",'ai, ~ ELECTRICAL PERMIT ~PLICATION SPRINGFIELD, 'OREGON"9747;7on.r'~ C- (' . \ jn N:, INSPECTION REQUEST:D,}26..-ill' f/J City Job Number '\U\U IJ. ) OFFICE: 726-3759 . ~._(./=.. ~ A~\!'\o(lzc-d S\~naturc '. ~Jl.-.eOMPLETE FEE SCHEDULE BELOY, 1.' LOCATION OF.INSTALLATION ~<l-15 l(j\MIl'.l..IT. A. N,o ,,,id,",,,,.,,",l, " ~ , Multi-Family per d",elling uni t .'~ l~(~~~CRIP()~ Service Included: Items Cost Y, Sum . JOB DESCRIPTION, 1000 sq. ft. or less $ 85.00 ...lr(\\\\fn~fG (''o-t. ~ lCIi~)' Each additional 500 v sq. ft or portion Permits are non-transferable and expire thereof ' if work is not started ",i thin 180 days Each Mantif'd Home, or , of issuance or if work is suspended for Modular 'Dwelling 180 days. Service or Feeder 2. CONTRACTOR INSTALLATION'ONLY Electrical contrac't~rLt~ 8~a~t;U{\,~. Address. P.O'.~ . . Cit~i\.lj(\ta~a. Phone '141 -~'J..olo , Supervisor Llcense Number I h 9.bS 10 - 1 -~~ Constr Contr, Number o3ZL/:Q q -I - q1 Expiration Date Expiration Date The installation is being made on, property I own ",hi~h is not intended . for sale, lease or rent. Ovners Signature: ~A~E~-------------~~-rCl,l{&;---~--- RECEIPT jI: ! () _ ~~ RECEIVED 'BY: rJ,\-I\..k../ 0' . .B. Services or Feeders Installation, Alterations or. Relocation: $ 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 5~ SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL volts $ 40;00' $ 55.00. $ 80.00 see tlBtt above Signature of Supervising Electrician ~.~~v ~/ " ~. X () . . D. BranchCircuits Owners Name(i~f/\O(\l\UJ.)(Il'1\W rA~ . , , l1" . New, Alteratlon or Extension Per Panel'. AddresslloOO l\(\~~a.~ \\.ll)4..1t1l\..> \1LULlbo' . .. ' One Circuit 'CityJ\IC)!'m.O' P one 6gb'-gO~D Each Additional ~ Circuit or with Service , OliNER INSTALLATION ' or Feeder Permi t 200 amps or less '201 amps t6,400 amps 401 amps to 600 amps' 601 amps to 1000 amps Over 1000 amps/volts Reconnec t Only, 200 amps' 'or less 201 amps to 400 amps Over ~01 to 600 amps Over 600 amps or 1000 $ 35.00 ~O $ 2.00 n?t included) E. ,Miscellaneous (Service/feeder ~Each installation Pump or irrigation Sign/Outline Lighting . Limited Energy/Res' Limi tedEnergy/Comm $ 40.00 , S 40.00 $,20.00 $ 36'.00 .~5.oo i . 'l;i l.O~ .3'1. <;\0