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HomeMy WebLinkAboutPermit Electrical 1998-7-22 The following project 88 ~~talIoWlII9 zoning, and dOeS not require ""... \130 epproval. 225 FIFTH STREET 7_. \ Jl { SPRINGFIELD, OREGON 97477 /ii::c:;t - INSPECTION REQUEST: 726-3769 o.d8) . '^ Ci ty Job Number OFFICE: 726-3759 A<, .......~ I ,YV\ . 3. COMPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTA]..LATION C{O)J oLc> /J,z{i1..."I /A.vC A. New Residential-Single or Multi-Family per dwelling unit. Service Included: ~LECTRICAL PERMIT APPLICATION gyOSVo LEGAl" DESCRIPTION ' t1.e~ ,~e-_r.... \'1 1')'3 ::l.~ 43 b3Ltcm Items Cost Sum $ 85.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder tJ.JlOB DESCRIPTI9N 1I.IY1 .51..1. 'ytJ ~ $ 15.00 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 Electrical Contractor AD! >,.cu....~J..." Address I ~o ( j/,...... L 5 r- Ci ty lEU'"",, -<. Phone 3 Lf 2,-1 ? n Supervisor License Number <;j c;- ~ J f.,E Expiration Date 10/1/ q 9 Constr Contr. Number 1:'79'44 Expiration Date S- / 7/P9 $ 40.00 Services or Feeders Installation, Alterations or Relocation: .B. $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps '401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation C. $ 40.00 $ 55.00 $ 80.00 !olts see "B" above 200 amps"or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Signature of Supervising Electrician JV/ /P1 /' ~ , - /' Owners Name VhlJ../<. ~,rllL 'fA-v;!. ~ Branch Circuits D. " New, Alteration or Extension Per Panel Address $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit City Phone $ 2.00 OWNER INSTALLATION E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res , $ 20.00 ;lO~ Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE dO. 67? 5% State Surcharge i. () U 3% Administrative Fee _ i{l r\ TOTAL ' ~ / U (I The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: _..'.'- ----------------~~------------------- DATE: '7-~d- - 10 RECEItr 11: n<t'irS<:' . RECEIVED BY: h ~mO-~tAJ