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Home My WebLink AboutPermit Signage 1997-3-28 . SubmmttU 11- -# ."- Thefol1owing prol9C\ ~quire sp3Ciiic t:.nd usa zon ng, and dotS nO approval. c.. U Zoning_ .' ~ tv\ _ ELECTRICAL PERMIT A!lP~T4I05N ,.City Job Number L1 lJ'l 3. COMP.LETE FEE SCHEDULE BELOII ~ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 DCl'l-J/2'L-tp 97? 7},~dZGd Signaturo 7i6':..3769 1. LOCATION OF INSTALLATION ")G;qo Mr1(r. 'M- \(-I"j (bCnIL \ 1f)AJj ~~p{ION n?f:X)1- , - JO~PTION '1 h \-{r,{)(" ,S.i)511 d;""pll1j (W....,,] are non-transferable and expire if work is. not stat.tell wi thin. 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ") Electrical Contractor I::~T'A Address \'2.10 OA \(.PATI..I-I eO Ci ty E\J5-e n... Phone Lj 135 - SSY 10 Supervisor License Number L.j;:>5.s 1<0 Expiration Date 101 '1 '1 Constr 'Contr. Numbet. III Zt>l, Expiration Date ;)- d- '19 Signature of Supervising Electrician I{;- . ~AD/7/ Owners Name 'I~ rDaVlIC. Address )2\\ SW 5th City Pt)('~IC-() I PhoneS03-7'io.75<1<6 01lNER INSTALLATION , The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -----------n------rj------------------- DATE:_,')./,<(,,-\1 fS"\ RECEIPT II: J}410 \ RECEIVED BY: '-1- } lV'.-l v 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular. 'Dwelling , Service or Feeder .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 $ 85.00 S 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 200 amps"ot' less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above r .' New; Alteration or Extension Per Panel :f One Circuit Each Addi tional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting l Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 .' $ 2.00 no t includ~'d) . " $ 40.00 $ 40,00 $ 20.00 $ 36,00 fl .O?, .UU ~uU 'p"~ IOIII)\'!lng project GS sublT:Itted r.~s tho: fo~~r.'':.';n:J ~r::,ln. '.:.nd {!;f/J not roquire 5pzc;jic I-.:::-~!'. ~ .pp,o',al. '-..-v l' 225 FIFTH STREET 20r,l.. L.7'6~ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 'J - rv\ A4 MAC; INSPECTION REQUEST: 726~3769 ~_' City Job Number U\ ttJ\~ ) OFFICE: 726-3759 ''''I..HI ;~illj,\:YJ Signa.ture 1,.. LOCATION OF INSTALLATION ~loCjo MC,',n ~ lL-e-u &/{)\(. J \1'tm~~rI~(Y)2-- JOB DESCRIPTION '\ 1\lJ(YJ rl.,...'.vr. 11)('u LIL.li ~IJ' Permits are non-transferable and expire if york is not starte~ yithin' 180 days of issuance or if york is suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor' Lsrp, Address Q \ D 0 A IGP^ 1L.1-\ '(2..0 Ci ty P.-VG. a1 r , Phone\..\ <?'S- S'S'-( 10 v Supervisor License Number '-IbS $1 <0 Expiration Date lb)\ ~ ~ Constr Contr. Number \ \ \ l...~l, Expiration Date ..:J~;;;).- Ci 9.. .. 3~OMP~.~ FEE SCHEDULE BELOV A. Ney Residential-Single or Multi-Family per dyelling unit. Service Included: Sum Items Cost 1000 sQ.ft. or less Each additional 500 sQ. ft or portion thereof Each Hanuf'd Home. or Hodular'Dyelling Service or Feeder ,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 ampslvolts Reconnect Only $ 85.00 $ 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 Signature of Supervising Electrician /P.P~ C)1hOn) ~ v D. Owners Name ~ ~\(, Address\7.1ll ~u F". P<1-\- Ci ty ~Ot.. '1 LA oJ l) Phone 'Sl):,-71? D- IS'1 '6 OVNER INSTALLATION , The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ----------------rr-----rr--------------- DATE: ,') I).I~ ,"'\1 - RECEIPT D: f\L.1'\~ \ . RECEIVED BY: ~\f\l) o--J- 200 amps' 'OT 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 "B" above .' " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting A Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 " $ 2.00 not include'd) . " $ 40.00 $ 40.00 $ 20.00 $ 36,00 ~.~ '.riO 4?'.NtJ ~