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HomeMy WebLinkAboutPermit Electrical 1997-3-31 . . tcsr.UbmtttF n-:';jlll.:'~"~' 1he to\\owmg prOj9C . f"'quile stJzc"ic ~....nc ~"'u zoning. E\nd does nO\ .. approval. C U 97477 Zonlr>g_'. - 72ftrJJ69 .'3- 5'-51 -. . I)rr- AuthoriZed S19natura~ 1. LOCATION OF INSTALLATION 44/J4 Moit'\ sf. . '< 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 17t1~3:f~mo'DO 0 JOB DESCRIFTION in <.fJ't/l 5eo~ Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. ELECTRICAL PERMIT APPLICATION Ci ty Job Number q 7 '() 4 S' r( - COMPLETE FEE SCHEDULE BELOY Nev Residential-Single or !f: Multi-Family per dvelling unit. ' Service Included: . Items Cost Sum A. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor.Sooitrol Security or Relocation: Address P.O. Box 21009 City Euuene Phone 461-5678 Supervisor License Number /0'i9 Rr:: r Expiration Date 10-/-90 Constr Contr. Number 65149 Expiration Date 7-2000 Signature of Supervising Electrician ~~~~ . Ovners Name /YlcC!u<.f'",v (}"t,'n",f<. . I Address ~<:O W1~ Ci ty Phone 74 7 -99d/ OYNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: ~~~E~--~1Jrrf-2f-~----------------~ RECEIPT ~:' 'f.).L, ::J10"7 . RECEIVED BY: X - VI/l j A _ . - . 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 $ 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 or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "BIT above Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith 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 3& lTl> 5% S ta te Surcharge 1 go" 3% Administrative Fee / t>8 TOTAL 3~B'a--