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HomeMy WebLinkAboutPermit Electrical 1997-10-22 . The following pm]eot Ae ''''', , ' TonIng, and doer .. . .,.)wlng c, ')roval. '. . I .....,... hl,., ...'tfl.) U.;.O ?cn[I1' cv -- -...--- 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REOUEST: OFFICE: 726-3759 I 9ilJf.7J.i~:~?:.uf.7n M 726-376~u 3. 1. LOCATION OF INSTALLATIQN / f). u .:15Gj() fY\Q.I'jI,j S '77<..-<2 ,€..--f-- /SPt''tui F,ljq A. I . / 1~fr}Eff7/?1J6 0 JOB DESCRIPTION flllSTn-{(.. /SZJfrm/' ~e,e 7O;t7a1a/4C- OFht::.E 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 Eh'1e Electrical Contractor E'/~'c!,., . r;vc.. Address 3'f?-<gq (].lJlJ.e'tYle.t.l ~ D~ City'RenI1~\'l\ <(!~ Phone5ql-3&1'-1f~CoO . 4Go--'f~'5 I Supervisor License Number 403.~<; Expiration Date JO/qg. ~. Constr Contro Number~lt:'6 h;;;;-;;; C. Expiration Date ~98' I 1019'S' Signature of superv~ng Electrician ~,~~. Owners Name !i./IlUJ~ Address ~C)qO jJ?, ,}J 81J2ee.,.:!- - Ci ty Phone 10G,-'-CXJ:J?; mINER The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DA~E~--7fJ/'~7C7~=----------------- RECEIPT i; tU. - ) ';(, UY RECEIVED BY: i.t-. . tit/l!~ ELECTRICAL PERMIT APJ;LICATION r.~ ty Job Number OJ / i Lf19 COMPLETE FEE SCHEDULE BELOV it New Residential-Single or Multi-Family per dwelling uni t. , Service Included: Items Sum Cost 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 $ 4().00 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 &sf,) $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT 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" a~ D. Branch Circuits .' 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 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE C:;O, ~ 0 5% State Surcharge - j - '-.." U 3% Administrative Fee i _ '" f) TOTAL "-,u. n ( ) -