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Home My WebLink AboutPermit Electrical 1997-7-18 . SPRIN.LD The following project as submttl.act hns thiJ fOIl'..lWII, zoning, and does not requiro cpc<:ific 1~...'i.1'~'" 225 FIFTH STREET approval. J<;lliCTRICAL PERKIT APPLICATION SPRINGFIELD, OREGON 97477 " . OFFICE: 726-3759 Date'1 "I /t1---; .ill. '^ C.OMPLETE FEE SCHEDULE BELOII 1. LOCATION OF ItlSTALLATION'-uthorlZed Signature! 1 r Y I ~/Y7aA/h s-l /409. !YI.~A. New Residential-Single or ' Multi-Family per dwelling unit. - LEr~(rf:rtO~ l ~() J t.{ DO Service Included: ' Items JOB DESCRIPTION /n.'Sl-all ,<;t2c'.UL./-Y Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Snnitrol Security or Relocation: Address P.O. Box 21009 City Euuene Phone 461-5678 Supervisor License Number /&''3''1 RET Expiration Date /1)- / - qq 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 Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 65149 C. Temporary Services or Feeders Installation, Alteration or Relocation Signature of Supervising Electrician /:<ZA'~~ ----/, /' - - ---; D. Branch Circui ts Owners Name fVle)(rro no / tUa/-/.ev?:hrensfe,'n New, Alteration Address //!/I) lJ1aln ,<::;1. Ci ty ,--5,"'e~.e../d_Phone 71/- 3()1;;;' OVNER INSTALLATION Expiration Date 7-2000 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT RECEIVED 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see flB" above 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 Limi ted Energy /Comm I $ 36.00 <:(...,OV 5. SUBTOTAL OF ABOVE 30 OD 5% Sta te Surcharge / ~o 3% Administrative Fee JO~ TOTAL 7, 5('"o~ . . SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 726-3769 1. LOCATION OF INSTALtfTION /40<6 Main :5-1-. LEGAL DESCRIPTION JOB DESCRIPTION in S +a If s,,(" u ~_i1y , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ELECTRICAL PERKIT APPLICATION City Job Number 3. COMPLETE FEE SCHEDULE BELOV '>t.' " -00 . ...... ~ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: ' 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder It ems Cost Sum $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor_Soni trol Sp.cur i ty or Relocation: Address P.O. Box 21009 City F:uuene Phone 461-5678 Supervisor License Number /t?;l1~}?~ Expiration Date /O-I-qo, $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 65149 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 7-2000 Signature of Supervising Electrician ~~~~ Owners Name ZL ffJe'J(:r.ah() Slnr-e~ Address 14tH? Inat' n $1. Ci ty :5pn'Yf3-Pt'eld Phone 74/-~_ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT ~: RECEIVED BY: $ 40.00 $ 55.00 $ 80.00 see liB" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limi ted Energy/Comm E. 5_ SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 3Co,tro $ $ $ -I- $ 300T:> 180 LI!>8' ::?.s?~