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HomeMy WebLinkAboutPermit Electrical 1995-3-13 . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST:. 726-3769 OFFICE: 726-3759 1. f\tp[A~~ f4- rr~r~h \ Q LEGtJ..;.D~~FTION \ r--A r-..r--,. \ .., n..j~::) \ l ~.x } ~~~ION cD\ 0\\ 00 -:.\ fbl d' Permlts are non-trans era e an explre if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contractorln..\'f:-' f kIT Address 4/2. 3t2. ~(' \( 0 nC:i.P ~It ~ City ~ Phonepfll~~ supe~:~nse Number \9l1 \S \\).\.~~ Expiration Date Constr Contr. Number --\'1"\\'2- E .1 . xplratlon Date \\. \~.Q~ S~~~iSing Electrician ~wners Nam~,lDt~lrI J.1~ Address~~ f'vm; J500 > City ~.:Ori _~ p~one~ OIINER ;~STALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -------------------~-. ---- DATE: ,'3. \y'~ - RECEIPT 11: tY, ^ ^ 110....;<=1. " RECEIVED BY:[ljTi 0,(' ./ ELECTRICAL PERMIT APPLICATION Ci ty Job ~umber q~O.Q \ f") 3. COMPLETE PEE SCHEDULE BELOII A. New Residential~Single or Multi-Family per dwelling unit. Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular. .Dwelling Service or Feeder /J -.d... 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 . Cost , Sum $ 85.00 J!JfJ $ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above .' New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit E.. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 .$ 40.00 $ 20.00 $ 36.00 cJffi ,cV It )UJ r () . Li,.J r::iJ I { n . <A.-J