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HomeMy WebLinkAboutPermit Electrical 1998-3-13 . SPRINGFIELD Autnortzed Signature l\ lV\. . HE~' NO\\CC:. E~P\P.E In KW 225 FIFTH STREET \"\\5 1'E.f,MIi Si'lt>-.Ll iHIS PE~ CAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 i E.O I.l\'\OER 1.11=.0 fOR (/ 'I) INSPECTION REQUEST: 726-3769 p.l.liI-lO?ll 01'- IS "e"NOO.Ci ty Job Number 9 g (J7J l> vr OFFICE: 726-3759 \ItIMEI'lCE.O . .. CO 0 o,,~ P81IOC'COHPLETE FEE SCHEDULE BELO\! 1. LOCATION OF INSTALLAT\ON t>-.N'( ~\\ sc..o ~ I'hW A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION I "",j) 1"0 ~ ...~~ ,...,.,J~"'l!)9"~C) Jof--':I.I J.9B DESCRIP'J;!OS ("'l ~.2.Du(J...,,,- -M.u.:"I+- ~~lC.d" Permits are non-traftsferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days.' 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor.....f11151() [ferti2~'( Address I d.. S\D =<.~4-.....e+ City vv\'(1 Ar(J c.. Phone S41-41S..J.1.3C1 . Supervisor Licen.se Number .If>.(')&'- '\ Expiration Date j D-I-l1g Constr Contr. Number lto-Ll~ Expiration Date J D-I...t1l? . .. Signature of Supervising Electrician O/fn.:... ~I~"q. fJ<'-~ Owners Name (:\ \\W ~o,...) Address t~s'l0?:JP S--! ' Ci ty N\,n Ante; Phone 3-I-I"Lrl':,-:l.!;>,'\ OVNER INSTALLATION The installation is beirig made on property I own which is not intended for sale, lease or rent. Owners Signature: ~ATi~----~~~J3-t~1\----------------~ RECEIPT. .: ~r ' RECEIVED BY: mJ/t----...- Items 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 Cos t Sum $ 85.00 ~,!;, - $ ls.0dil~ $ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D.' Branch Circui ts $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge-l-.,D.3 TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 tlO1J,- ~+ ,:p"" ':f I ()\( -