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HomeMy WebLinkAboutPermit Electrical 1998-10-28 . 225 FIITH STREET ~ SPRINGFIELD, OREGON 97477 INSPECTION REQUEST:. ~%9 OFFICE: 72~I\W9El~\l\I~O.l'\\.l\i\iW t-)~ ~\OI'l:Ole\l \he Ole set \orth I{/. 3. f>:\'i~~ l~_ \o\loVlI~ , )15 leso'1 A. l'Io\i IC.., 9<;.'2.-0 ~- .~." ieS o(t~i~llhOl'\e il'\O~P r.E om"''' a.AON \il~\ill.l'\ "' o . \l . el _\\\ilttiI'\O'U ~u u u o ~:~~~)~~~2-i3<\"" . :z:-~ /"i =-ur-I (r:., ~/. / Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ELECTRICAL PERKIT APPLICATION Ci ty Job Number C\ K t s ~'1 COMPLETE FEE SCHEDULE BELOV * New Residential-Single or Mult~~~. per dwelling unit. Servi~~~nc~uded: THIS PERMIT SHALL E>lfl!~F TH~WORK Sum 1000 A~J~g~IZbQ Llttq~R THIS PERf$IT8~ .~T Eachraad~t~6na[OB09ABANDONEDFOR sq. ~f,tl or, .por t,ion-.() thereof """,, , 1:.11'.1. $ 15.00 'Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical ContractorSoni trol Secur; ty or Relocation: Address P_O. Box 21009 Ci ty Euuene Phone 461-5678 Supervisor License Number :21).) i'F T Expiration Date /0- I-qq Constr Contr. Number 65149 Expiration Date .'. 6-28-00 sign~ure of Supervising Electrician ~yv,. ~ .~ ~~,-D: O'iJners Name ~?,(;, ,uv, I ill""1 L:.--r:.-'\ .:2... \ g'$ w. 2~'+\ S' Address ;rdVr'{..'/~ . Ci ty ~~~ PhoneG8'4> -Lk~ S. OVNER INSTALLATION The installation' is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: \ l:)- L ~ - '\ ? RECEIPT lI:n <.. I 8'70::::.. ' RECEIVED BT:" _lV\(l11^~~~ 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 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 see tlB" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuitor with Service or Feeder Permit $ 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 3% Administrative Fee TOTAL l~r&t? I to /i. ~~