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HomeMy WebLinkAboutPermit Electrical 1997-8-28 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. \~fQ~re1?'r{t)s~~LATI"k&o+ \~ kEG~. DESCRIPT~ ' 'U-:')'~.Q"b~O ~. JOB DESCRIPTI ermits ~::ln::_trans if ~ork is not started of issuance or if ~ork 180 days. rable and expire ~ithin 180 days is suspended for ELECTRICAL PERMIT ~~LICATIr/~ Ci tyJob Number U(\ \1 ;.{)-J 3. * COMPLETE FEE SCHEDULE BELOV A. Ne~ Residential-Single or Multi-Family per d~elling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'D~elling Service or Feeder Items Cost Sum $ 85.00 '$ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders \ II\Y . '(). J'\ +Installation, Alterations Electrical Contractor"-l' P(l?-W ,~~\W'( Ueo or Relocation: Addres's \)() ~ \,\ \ '~ " 200 amps or less \ $ 50.00 m \. '^ \ ~ .,\ l410 ^t'\AC) , 201 amps to 4.90 amps $ 60.00 City.ll' \wf\/\ P Phone 'lVTD 401 am"sG~~ amps $100.00 'J..'J.() Q. 601 a.JjIJ~~\\.to JJ!f.iO amps $130.00 Supervisor License Number -J~lD~ _Q~YOQ~a~ps/volts $300.00 \~ \ C~. ~\.\.~c~'1"~ $ 40.00 _ Expi ra t ion Da te \)'. ,'l''t~ }.~ Sy.. G~ ,y..~ a~rc.'V \ ^t;:..~ ,?'i:-fi" ~'V'1''''~L'y Services or Feeders Constr Contr. Number~, .}.^), 1'y..\S r.,P.\trc.'V a,?-lbiStallation, Alteration or Relocation ~IjW' Crc.'V \a\)' Expiration Date ~.\~. ~~~~rc.~ ~'{'?rc.~UO amps"or less $ 40.00 I.J~ ,~'V 201 amps to 400 amps $ 55.00 Signa/lyre of Supervising Electrici~'{ Over 401 to 600 amps $ 80.00 ;'i '//. .,' Over 600 amps OL' 1000 volts see "B" above ;J 11 /".~ ,/ -, I."{\M r 1\~1r\;", D. Branch Circuits O~ners Name~ . \ ~J~ 1 C'l...r..I1~ Ne~, Alteration or Extension Per Panel Address Q~c) (~) One Circuit $ 35.00 Ci ty Phone Each Addi tional Circuit or with Service or Feeder Permit $ 2,00 The installation is being made on property I o~n ~hich is not intended for sale. lease or rent. Owners Signature: ~~~E~-----~~~l1~--~-------f\------ RECEIPT h: . ~~ (1"'-.. RECEIVED BY: 'r}.JjJJi-.-' _ - Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL' not included) $ 40.00 $ 40.00 $ 20.00' $ 36.00 -41~ 1.5&3 1'\4