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HomeMy WebLinkAboutPermit Electrical 1998-2-6 . . The Iollcwfllg projeet "" eubmllled hsa '" :~end does nol require .pec~ie lana UM Zorrlrrgj::uttV 225 FIITH STREET Date7 /0 _~ ~LECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 . .a INSPECTION REQUEST: 726-376!fMhorlzecl SIgnature IJ h,\ Ci ty Job Number q f? OtJcr ':; OFFICE: 726-3759 . 3. COMPLETE FEE SCHEDULE BELOII 1. LOCATION OF ,INSTI\LLATION .,r;,\(' O'~ ~,.,p- LEGAL DESCRIPTION /7 t' 3- /_? lI- ?- &l_{(2./V JOB DESCRIPTION SIN~ Ltr ~fl.M It..lr ~E~/j)6AL(' 15" Permits are non-transferable and expire. if work is not started within 180 days of issuance or if work is suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY Ele~trical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name /~~B.) ,!jar Address City Phone~9jr-Ji'~ OVNER INSTALLATION The ins talla t ion is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------7,------------------ DATE: 2. //"'I7'~ . RECEIPT #:_ .,,.) "ZJ:>72T'"'- RECEIVED BY: . tf'~ ( . A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. 'Dwelling Service or Feeder .B. Services or Feeders' Installation, Alterations or Relocation: 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 Hems Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00' $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less I 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 ~6 $ 55.00 $ 80.00. see "B" above .' New, Alteration or Extension Per Panel 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 2..60 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy(Comm $ 36.00 One Circuit Each Additional Circuit or with Service or Feeder Permit / I../}.. ,0 (J ..,_.t () J. Z!' 1fC,',7,("