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HomeMy WebLinkAboutPermit Electrical 1997-7-31 , TH ' IS PERMIT SH. . . AUTHORIZED UN 'ALL EXPIRE IF THE ~ COMMfNCED ORDER THIS PERMIT IS NORK ANY 18 IS ABAND OT 225 FIFTH STREET 0 DA Y PF=J:J ONED Fn ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 9741J'liollowingllll9aassUbmittOdh'~~.fo::vwing' n INSPECTION REQUEST: 726";3~7.6'91 dOGS not roqUlr. SpOClhc lono uso Ci tyJob Number \.VI f]\lliL OFFICE: 726-3759 ""e ~.u,. \ ~~ * Zonin'\,J'>.' , COMPLETE FEE SCHEDULE BELOII 1. W~ATION OF INSTALbMI,\JtL/7-=3J~7 li-\\.Q~ N'\.Dif\ -~.t(\ - A. Ne;; Residential-Single or - AUifloriZt,,-dSignatuia-.8L,~ MIll ti-P;lmily per dwelling unit. \,.l.!>~ DE~CRIPTION ,,1\ Service Included: Items Cost Sum ' IlF .4,......,<:::::,q-\ (~YKr,( JU_ ~-- ll'1\ -l<\B DtSCRIPTION V\ \\A\ },Q ..Ir\ 1\ (\lL_ Permits are non-transferable and expire if ;;ork is not started ;;ithin 180 days of issuance or if ;;ork is suspended for 180 days. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular .D;;elling Service or Feeder $ 85.00 '$ 15.00 - $ 40.00 ~ 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders \ \I\Y . ~. }\ -l-Installation, Alterations Electrical Contractorl\J.' p(l;z.~f' ,'l\ \\1f'( Ueo or Relocation: Addres's \)() ~ \\ \ - , . __ 200 amps or less City~ \\Pnli\\p Phone l4\o~. 2g~ ::~~ ~~~gg ::~~ . . ":l.. ':l,() Q. 601 amps to 1000 amps Supervisor. License Number ~~lD~ Over 1000 amps/volts \ \ (\ r\ Reconnec t Only Expiration Date \)"VI" J . \ ~ c. Temporary Services or Feeders Constr Contr. Number Q. _, Installation, Alteration or Relocation Expiration Date ~.\~. <& 200 amps' 'or 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" above Signature of Supervising Electrician If / /1-J(^,-,~) ",,~,;, ,..<t ;A'll.JO ~<; ~ Add ress \ 'ZJ 00 l t\\f\ 0 {\ _ cit~~i~ . . Phone 1\\n.\&l1 ~STALIATION The installation is being made on property I o;;n ;;hich is not intended for sale, lease or rent. Ovners Signature: ~~~~~--~:-2?-j=-~-~------------------- RECEIPT II:.- -2f82/h RECEIVED BY: 1M D. Branch Circuits $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Ne;;,Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or ;;ith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL' $ 35.00 $ 2.00 not included) $ $ $ $ 4r._~ '.2n 43.U) 40.00 40.00 20.00 36.00