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HomeMy WebLinkAboutPermit Electrical 1995-6-21 \00\0 dO.' dll!l2 Ilb(1\\\\O ~\C 100 . 00\ s' · 111.0 .pec iOo ,\Ol\"::.~d~ 00\, ~~< ~oO\l\\l' \ I.' '""2. I' . ____ 225 FIFTH STREET epPIO's, ~. _______ ' SPRINGFIELD, OREGON 97477 'lOpl\'M INSPECTION REQUEST: 726-3769 ~ OFFICE: 726-3759 ~e SIIlOn\1l10 ;$fO,,~ed 3 . 1. LOCATION OF INSTALLATWI 572/ ,It{/?t/h STvc'r/f. _I}f7J'1l~4IOfJ(J~~ JOB/D~SCRIPTION Se.c-vr,"ry ~ C'c7// J#.5.Je/lc.~ / Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor CM-'$~ ~h1v tits 'I Address Y"Z/..s- ,Ki'v"cxu'c/ 51-. Ci ty 6v'?-e<-c e- Phone C:, r'J-~7 t:.. ~ Supervisor License Number ..L.ZJ"S :T LE Expiration Date /~~';?t:.. Constr Contr. Number 20- 'ZJt.7 C::CG" Expiration Date Signature of Supervising Electrician 14:- ?J~.. Owners Name :Blim{Xtb Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners. Signature: --------~-----r--~-------------------- DATE: ~/~/ ,4') ~'~flr RECEIPT ' I' '-19 , RECEIVED BY: , . . . ." ,.......:., ". AL PERMIT APPLICATION Ci ty Job Number q4 /C141 If ELE COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling Service Included: unit. Cost Sum Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder 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 C. $ 85.00 $ 15.00 $ 40.00 " $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 100u volts .,"1"- D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" ali'OVe New, Alteration or Extension Per Panel ,- One Circuit Each Additional Circuit or 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 I $ 36.00 '3;'" 00 5. SUBTOTAL OF ABOVE 'h/.p - 0() 5% State Surcharge I~J 3% Administrative Fee i-" TOTAL ,