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HomeMy WebLinkAboutPermit Electrical 1997-1-6 (2) r>, l_'" ~-. sr.GFIE~D _ ,....".. .~ Tn. following pr~jeCl 0" b '. zoning, and.does nS! ;~~~rem~ttp:~ff:~'C's,..'hdP following ~PP~'Jval.. C v ......:on 1Jse Zoning ,225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION. REQUEST: OFFICE: 726-3759 97:4,7iU:) M 7.26-3769 . . Autn6ilzed Slgnaturel- V 41 3. 1. LOC(\TJON. OF IN:;'W'LLATI,Q~ L r..jJ29 C; jVj (JI/I )I!:f('T ~\l\IPTION ()4-~rlL !' JOB DESCRIPTION ,<; ~c ~'" .Il )t!1-I/lf Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor' f+.j).ft' A/u""'JLCn. ~ -. . Address '/ 1) cYuW,/t-f f+, . City_I="...~/V Phone ill {,j/,-ji'{J Supervisor ~icense Number 3 f./-~6] (( {', ! (~/ )/1.-1' Constr, Cont" Number e;J~q).. ).?-/q rJ s~gna~:;;uPJt~1J:ician . O"o'"'~,., V'7{iJ f1;'/1J'.l , Address lj tJ q (' ~ '''' <).)- " Ci ty ,SOn- ,/\.f ,I/,khone _f},} 6 -/illY OVNER INSTALLATION Expiration Date Expiration, Date The' installation' is being ,made on , E. .property I oyn which is not intended for sale, lease or rent. ~~: , . , .. V ----------------~--~-- -----7--- - - 5. DATE: . ,II I. 1("l~L{ RECEIPT #: l~' ~. '_\! I . RECEIVED BY: I lJ\ . ~- ELECTRICAL PERM~TqAPPLICATION' City Job .Number t O()D~.\ COMP~L~ FEE SCHEDULE BELOY A. Ney Residential~Single or Mult~-Family per dwelling Service Included: uni t. Items 1000 sq.ft. or less Each additional 500 sq. ft or, portion thereof Each Manuf'd 'Home. or Modular 'Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. Services or Feeders Installation, Alterations. or,Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amI's to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnec t Only, ' $ 40.00 C. Temporary Services or. Feeders Installation, Alteration or Relocation , 200, amps' 'o'r 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" a l)(iV'e Branch'Circuits .' . Ney, Alteration or Extension Per Panel One Circui t Each Additional Circuit or yith Service or Feeder. Permit $ 35.00 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting , Limited Enerky/Res Limited Energy/Comm not included) SUBTOTAL OF ABOVE .5% State Surcharge 3% Administrative Fee TOTAL $ $ '/ $ V $ 3 ((jJ ~'~U ill . U~ )3 f U J.b...!l J 40.00' 40.00 20.00 36.00