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HomeMy WebLinkAboutPermit Electrical 1995-11-17 '. . SPRINGFIELD 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION \0f\C\ \\\,,~'" LEGAL DESquPTION \\\,\"\', '\)",,\ \\\\o.{~ 1703 , ~~.4L. iX-/5atJ . JOB pESCRIPTION C\.~ ~~, \\\eu\n ~I{\c..,\\~ c.\.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 Electrical Contractor~I)fA)\ Address p,O, eox / tfg Ci ty f)'E:'x!TE::(C Phone fk(((Je. q37~ 337e.. Supervisor License Number ~~~~;> J{)/f~'1r; Expiration Date Constr Contr. Number Cf b 220 Expiration Date ~1__'2~ 1brO,t4-Qlp Signa~f S_~lectrician ~.A~ \ Owners Name \\Q ~\:,,\ ~\"\-uJ()"r\& D. Address c.., 2/ S_ ~tZ Ie.. S--rr2.e&T City--Sp2(~~JaPhone 747-212~ OVNER ~N The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~II-~--r=7-':--2}~----------------- RECEIPT 1I:_nJ~ (/J1c0 RECEIVED BY:_l). ~ ELECTRICAL PERMIT APPLICATION City Job Numbe/15 I gO L 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 Sum B. Services or Feeders Installation, Alterations or Relocation: 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 $ 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 $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits " New, Alteration or Extension Per Panel \ $ 35.00 3SJ)o One Circuit Each Additional Circuit or with Service or Feeder Permit $ '2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ ~S- \-lS \ () s 40.00 40.00 20.00 36.00 11 ?::> 7. gc;