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HomeMy WebLinkAboutPermit Electrical 1997-5-16 SP.'IELD The following project fte r.ubmfttod /"1"'<'; th'":'l f:l'!:i'.','l!1i , zoning, and does not requ:re c:;>cciflc I~nd U:') approval. 225 FIFTH STREET gJiniOO ~ U SPRINGFIELD, OREGON 97477 , t=:;111" 1(1'1 INSPECTION REQUEST: 726-3769)mo'-l~ City Job'Numbe~ OFFICE: 726-3759 Aulhorlzod Slgnalura {\ (VI .._- r COHPUlh FEE SCHEDULE BELOll 1. LOCATION OF INSTALLATION c.jh.f~ tvt 4 /J LEGAL DESCRIPTION /702 1'2 4' '2.... t!X) ., (7!J JOB DESCRIPTION ~ ..lj Pal S'6<I//C!.../=, Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Address '$33 '2 s;. ~ I..J2..VL-L L")/~/) Ci tri.,go;/.J~ t..<--- Phone Supervisor License Number ,0f;-- <'.1." / ~ 3?..2...&"S 98' Expiration Date I" 1 Conser Contr. Number 62.377 Expiration Date 11/0 I /9 P S. f S '.!. E I .. 19nature 0 uperv1s1ng iectr1c1an r'~ v?-/~ Ovners N~me;r-~ 6;' a-c/ ~C? [Y' Address I City Phone ~ OllNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: -----------------:=)j--~- -------------- DATE: "?/ (/~ 5' 7 RECEIPT 11:. 2....?;"Bt'? RECEIVED BY: . tP"/;?'.f:...-> , ELECTRICAL PERMIT APPLICATION . A. Nev Residential-Single or Multi-Family per dvelling Service Included: B. Services or Feeders < Installation, Alterations Electrical Contractorc}../~;' """ n~/L J<:i..MrR(.!l..T Relocati?n: R./ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dvelling Service or Feeder 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 CJ 7t<J 776 """ JJf Items Cost Sum $ 85.00 $ 15.00 $ 40.00 ~$ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ~.6J C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits " Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 C~~ -~.~O /,;-0 51rJoO