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HomeMy WebLinkAboutPermit Electrical 1998-1-1 . . SPRINGFIELD The f('l!!("'Iwir,~ proh.'; 8! ~,:..:br:'t~I"'.~ 1-.,1t '~:c foil _ z. "...><1 0008 not require apeclfto lend uao 225 FIFTH STREET a,.", "V&1. ELECTRICAL PERMIT APPLICATIj SPRINGFIELD, OREGON 97477 . N\ 1 { 1\ ('-0/10 INSPECTION REQUEST: 726-3769 ZOntng-U-UkI . City Job Number "'\ IS ' I , OFFICE: 726-3759 Db-, , . '(\ 3 COHPLETE FEE SCHEDULE BELOV 1. LOCATJ;ON OF ~~}Ar~O"Zad Slgnatura. "'\ ~lOtJ ~V~ A. UlsJ!t D~~,("fllXD Expiration Date Signature of Supervising Electrician a~L. 0 - ~/'--I -" ~ \ I@ IJ SA.1\i\'s'D 1\ .., >l Add ress I ~ ~u...J <., ~>C 'S -\- . Ci ty 1\'\o.(,L,GL'> Phone SL) I ,l./.,,\..J. \~.Cj Owers Name OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT 11: RECEIVED BY: - ,~ \r'\i \d~- New Residential-Single or Hulti-Family per dwelling unit. Service Included: Items 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 ~1~D~~~IO~._ 1000 sq.ft. or less .J..,..1L\ ,.l;.WDJI.X''''O - . Each additional 500 . sq. ft or portion O~ perm'it re non- traftsferable and expi re thereof ." ..~\\ '>N if work is not started within 180 days Each Hanuf~d'~ome or~ ' of issuance or if work is suspended for ^~\C~~HO~ular-Dwelling 180 days.' ~\.; , "c.;;~.Service or Feeder ..,1' \\'\\<b .,1;.',. 2. CONTRACTOR INSTALLATION ONLY B:-;.;,'Services or Feeders !,-U'.' . Installation, Alterations Electrical Contractor A \\" IJ f l{'d{>'v<>J.o~\liI'or R~ocation: ~l(..~" ~"t'<I...'OI.l"~ Address /2 S vJ ~~ s,{. . ;[?'9.'f:. \T At \'1> ~O""". 200 amps or less '"" _"~~~ '01 ._,. ,. 400 .-,. City MI1~'\' .~~Mne ~ ~'i 401 amps to 600 amps - ~~r-' 'V~\){;. ,,' 601 amps to 1000 amps Supervisor Li~~~s~~r Over 1000 amps/volts !'-'V\Y\\J....~'f;.'ij -.Q,\O'ij. Reconnec t Only Expiration Date,,-^~~~!~~' \J~ \~~v" C. Temporary Services or'Feeders Constr Contr. Nu~'ti1r I h-l\(.. Installation, Alteration or Relocation 1D-1-41? D.' Branch Circuits Cost Sum $ 85.00 B5 $ 15.00 ~ $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 volts $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel Hiscellaneous (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'tl'lYtI1 30.6 -hJtaJl. $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~t::, ~ ..".c:: 1&4./).0