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HomeMy WebLinkAboutPermit Electrical 1996-7-2 .. .. The following project as submitted has the followinq>PRINGFJELD . , , " "', . '(J ",' Zoning Dote '1 '1..4 {p 225 FIFTH STREET ,SPRINGFIELD, OREGON 91ifnrtZed Signature INSPECr:ION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION / B9{P M,L}-)AJ sr. / lffr};!)~N mm I JOB DESCRIPTION . /.()lhL S /t:HJ InST/ttUfff()AJ Permits are non-transferable and expire ' if 1I0rkis not started IIi thin 180 days of issuance or if'lIork is, suspended for 180 days. 2. CONTRACTOR INSTALLATI!)N ONLY ,B. Electrical Contractor ;1f;f~tii1 ~: Add'ress. ;:)()fj JdrCPSOtJ st. Ci ty eu~ Supervisor License Number Phone 3f(')'-f769 t.f35 Expiration Date <3/1'7- Constr Contr. Number ' b </6/!? Expiration Date .3/Q7 Signature of Supervising Electrician o.."'~~ri_lIDi2 ,. Address \("fs~ A(\n~ City~(t\-H p - 'Phone-2Gt .SlS '1071 \ ?VI COMPLETE FEE SCHEDULE BELOY 1500 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular DIIelling Service or Feeder $ 85.00 $ 15.00 $ 35.00 Services or Feeders (10 Branch Circuits included). Installation, Alterations or ,Relocation: 100 amps or .less 101 amps to 400 amps 401 amps to,600 amps ----- 601 amps to 1000 amps Over 1000 amps/volts ----- Reconnect Only ----- $ 35.00 $ 60.00 $ 90.00 , $130.00 $300.00 $ 35.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 01lNER INSTALLATION The installation is being made on property ,I olin IIhich is not intended for sale, lease or rent. .~ Owners Signature: ~A;~~---------0-~T~-~~--------~~ RECEln ,: L } , ./_,'t~:::2r},~ RECEIVED ,BY: ,t:'1)( J xl j-.A.1) 200 amps or less 201 amps to 400 amps Over 401 to' 600 amps Over 600 amps or'1000 Branch Circuits $ 35.00 $ 40.00 $ 80.00 volts see nBn above Nell, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation ' Pump or irrigation Sign/Outline Lighting Signal Circuit or limited energy panel One Circuit TllO to ten Circuits Each Addt'l ten or portion thereof E. 5. SUBTOTAL OF ABOVE, 5% State S~~~rge ~ 3lIb ToW- fl $ 35.00 $50.00 $ 15.00 not inclUded) - $ 36.00 $W $ 36.00 ~.~ I .;i'() 13.;;1.0 -+I)