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HomeMy WebLinkAboutPermit Electrical 1997-2-7 :. . . I (Id./Ollowlng prOJeCI a~ su mmz ,;:'11 tm"l rO!lO'.'J:nJ zonmg, and does not require specific l.:.nd i.:':'J 8l=prov;:.1. (, (L; Zoning L bet.'7 ~/_ c/J ,~ , 97\4)1~1IZed SiQnatu,.-1LM 726-3769 lZ.5 FIFTH STREET SPRINGFIELD. OREGON INSPECTION REQUEST: OPFICE: 726-3759 1. LOCATION OF INSTALLATION \ '2,C\l.c I\I\AnJ ST. --'" ELECTRICAL PERHJ:T~PLICATION LHY Job N\llIIbe. '1blr~~ 3. COMPLETE FEE SCHEDULE BEr..oV Items Cost '17rg~rJ~:IlJ3!M1 A. N4V Residential-Single or Multi-Family per dvelling unit. Service ~ncluded: JOB DIlSCRIPTION -:-'1':' Bor1..bO\UU.f6r-.....~ \tt:."T~ Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is susPQnded for 180 days. 1000 sq.ft. or less Each additional 500 $q. ft or portion thereof ' Each Hanuf~d Home, or Modular 'Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 2. CONTBACTOR INSTA.Ll.ATION 'ONLY ,B. Services or"Feeders Inst~llatlon. Alterations Electrical Contractor,K.s:s:p_ c:;'~ UJ-C.llr Relocation: , Address .1011 '1~ ~VE. CityL.\tlrn1A ~,'r\ Phone !;Lt1-'"l~_~~1 Supervisor l..icense Number ~.,\c;t Expiration D~te\o'\ b~ ConstrContr. Number O'J..':2,!;I^~ EX:: :.:RJ Da t e .., I 'l~ \ OJ., Si:2Ji ?erViSing Blec~rici&Q Owers Name. 7-11 Add re$S 13QlO Mn i h 51-. Cl ty Sr('iV\~J.rj Phone , ............. IN~ALIJ\nON The installation is being made on E. property I OVn vhich is not intended for sale. lease or rent. Owners, Si~ture: --------------------------------------- 2-7-q7 2HW::J. '5 , W_, DATE: ~.Lr1lf' RECEIVED 'BY: l ~OOIlJ 'll~S ',\~a <1-IdS 200 amps or less 201 amps to 400 amps 401 amps t'0.600 amps, 601 amp$ to ,1000 amps Over 1000 amps/volts Reconnec,t Only C. $ 50.00 $60.00 S100.00 $130,00 $300.00 S 40.00' Tempor.ry Services or Feeders Installation, Alteration or Relocation D. 200 amps"QT less 201 amps to 400 amps Over 401, to 600 amps ,Over 600 amps or 1000 Branch Circuits S 40.00 S 55.00 , S 80.00 VOltG see nB" above New, Alteration or Extension Per Panel' ,- One,Circuit ",I Each Addi,tlonal Circuit or with Service or 'Feeder, Permit $' 3~.00 ~C(). $ 2.00 :l.ClC;l Hi$cellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting ,Limited Energy/Res Limited Energy/Comm 5; SUBTOTAL 'OF ABOVE 5r.'State Surcharge 3% Adminis,trative Fee TOTAL ' . 6~9C nL cosQ, no t inclUded) $ 40.00 $ 40.100 S 20.00 $36.00 <-37.:001 (,\.~") I :n:::..w I 4n. O"l.~. q (" n:n L6,'SO"~(1