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HomeMy WebLinkAboutPermit Electrical 1997-1-6 T~IJ k.!Jowing oroia~t 0' ' " ,.. d" - D.. submitted h__ h .~' ... H" ~n doeo not requ' . ',haQ t 0 followl '~,J~.ov9f. '. Ire SPecIfIC land use 'Zoning. GO . Obts), & '1-1- 974 7.1thortzad SJ . I ~A 726-3769 gnatu,.. PJ,vI ~ I' . 225 FIFTH STREET SPRINGFIELD~ ,OREGON INSPECTION REQUEST: OFFICE; 726-3759 1. LOCATION OF. INST4LLATI9N' I.' If !/.f2..CJ.",,) If} aUL .ti.'1 4.f117'u7JiY d vI.,; A. ~~'t\~~WTf}\~ . J~~;,DEJ~,.,FTION . II \tJlLl~ IN) ili(lJLCI14rr:t 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 Contractol}cl.9 r:~ oi1/)I~-; k Address 2;0, Bot 9:, I~. ~. '.. Ci ty.GJl;fJ.1[j . . . phone6!:JJ.:9J8-7bJtS Supervisor License Number :::s:J!5;j s Expiration bate lo-,-q<;< Constr Contr.. Number ..-:2,;:;>'~ , Expiration DateL./-;;)I-'1! , Signat~e of supe~iSing Eiect~ician /..) ~ Owners Namei'D ~ ~ . ~~J111~~ Address ,..p.D ; berx.. d,'2,7 Cit~i J (Ij~' , Phone q13 .. , OVNER INST LLATION The installation is being made on property I own which is not intended' for sale, leas~ or rent. Ovners Signature: E~!~.~::~:~--~~:~~7J;4-~~---- SaGFIELD , ' 3. ELECTRICAL PERMIT APPLICATION Ci ty Job Number . Qlcf1.:.~\ COMPLETE FEE SCHEDULE BELOI/ ~ New Residential-Single or Multi-Family per dwelling unit. 'Service Included: Items Cost Sum iooo sq.ft. or less Each adcii tluual SOO sq. ft or portion thereof .ach Manuf'd Home_or Modular 'Dwelling Service or Feeder '$ 85.00 $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Reloca don: rj. .....L $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 :J {)(J .'gE. 1,:)().'iJ'- 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. Temporary Services or' Feeders Installation, Alteration or Relocation 200 amps' 'or less. 20r amps to 400 amps Over 401 to 600 amps Over 600 amps or lUUU volts $ 40.00 $ 55.00 $ 80.00 see "ii" aDove .0. Branch Circui ts " New,' Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service' or Feeder Permit ~ $ 2.00 /5:)ES!- not included) E. Miscellaneous (Service/feeder -Each installation Pump or irrigation ./ Sign/Ou tline Ligh t ing Limited Energy/Res Limited Energy/Comm 5. $ $ $ $ 36.00 ',-/1/). l8- .2, ?laU 1t.J.~ I :...5.. f () . ij ':"L 40.00 40..00 20.00 SUBTOTAL OF ABOVE ,5% State'Suicharge 3% Administrative Fee TOTAL