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HomeMy WebLinkAboutPermit Electrical 1996-7-2 -e .. SPRINGFIELD Zoning C 225 FIFTH STREET o..ta ~ 1. i .tj U SPRINGFIELD, OREGON 97477 INSPECfION REQUEST: 726_~9'l\v>d SI\lnatlJrs OFFICE: 726-3759 1. LOCATION OF INSTALLATION .::l:...L LJ-.~" -, 'A' ....~ ~..;J-L.~'~ -,I. 3Thcg:t DE~<rtrl i 'JilL- .'< J >., I 04~ /TO JOB DESCRIPTION l'rJsfa(/ .<;~CLtr~+y Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ELECTRICAL PERMIT APPLICATION ?IV'l ,,~.y .Job Number Q&080S 3. COMPLETE FEE SCHEDULE BELO'il A. New Residential-Single or Multi-Family per dwelling unit.. Service Included: It ems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 2. CONTRACfOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor,Sonitrol Security or Relocation: , Address P.O. Box 21009 Ci ty Euuene Phone 461-5678 Supervisor License Number 178'OJL€ Expiration Date /0- f- CJb Constr Contr. Number 65t49 Expiration Date 6-28-96 Signature of Supervising Electrician nJ.+rJ.. p1u'rt./$ I . Ovners Name U<;. Sr:J,,;,lt':J h Address ~~~ Ci ty Phone 72&> - 9()'itJ OVNER INSTALLATION The installation is being made on property I own vhich is not intended for sale, lease or rent. Ovners Signature: ------------~------------------------- DATE:7..-/-7V ' RECEIPT jI: (\::).;;>.0/'7' RECEIVED BY: II . IhN~() 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 * Cost Sum $ 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 "B" above 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 Limi ted Energy/Res $ 20.00 Limited Energy/Comm f $ 36.00 ~ 5. SUBTOTAL OF ABOVE 3(0. (Jt) 5% State Surcharge ,. Rl) 3% Administrative Fee ,. DX- TOTAL ....3~: - R'R'