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HomeMy WebLinkAboutPermit Electrical 1998-6-12 2. CONTRACTOR INSTALLATION ONLY B. Electrical coritractor/J(i,l:sl1er !J-eTr-c.. Address /f1 {) ~ 'j?~S k ;' _ Al //..e- . , . ~ / , CitY~I!!.n... IJr Phone r;;1t9-'l!l2..i . , " Supervisor License Number .39?o--:'" S Expiration Date /t!J -,/- 9~ ConSer Contr. Number 9ttG.;;. '?6- Expiration Date /-c:2J~';" ()O 1000 sq.ft. or less Each additional 500 sq. ft or portion ~ thereof -;!iI:=- Each Manuf'd Home. or Modular 'Ovelling Service or Feeder 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 Sum $ 85.00 g-5.88 !:JMo . I~ . I approval. · not requ/r. SPecIric lane NOTICE: Zoning~ , ' THIS PER~r't"~~t~ ~ - - 225 FIFTH STREET AUTHORllEfpP$~~1 IF ORKELECTRICAL PERMIT AP~LICAT~ SPRINGFIELD, OREGON~~WlA1C' vcrnR/ (f 'T\c::..1 INSPECTION REQUEST:AN~2~-3'f69J OR IS ABAND NUT I..TtJ .;Ju;'" Number "\ 1\ Jc ) OFFICE: 726-3759 180 DAY PERf 0 ONEDFOR ' . O~. 3. COMPLETE FEE SCHEDULE BELOI/ 1. L~ ~m~~~ ~Ji'J . A. New Residential-Single or ' , Mul ti-Family per dwelling uni t. \'~~fg~TIl\'?ffi'() _' Service Included: 'Items Cost t~Of{r~Fl~ T~4~ ' Permits are non~transferable an~ expire if work is not started within 180 days of issuance or if work is suspended for 180 days. $ 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 Si~Up~v;'~];ectrician Owne;s Name..lli~lAQ ~\~mMf) Address p . [9 ~ ~ il"\JL. C; CityJ~l Yf.t'\Q~" Phone f)L\L\ .'2.lo'W OI/NER ~STALLATION The installation is being made on property I own which is not intended for sale, leas~ or rent. Ovners Signature: DATE;---~---~~Jf(-i-t~v-~-------------- RECEIPT 11: ' b '5 p,-:HIJ _ / J . RECEIVED By: {).J/ Wa.P7 I 200 amps-'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circui ts New, Alteration or Extension Per fanel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit E. volts $ 40.00 $ 55.00 $ 80.00 see "B" above , .. .' $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline LightinR Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL not included) $ $ $ $ fJ f: 8r3 .:50 :S.'(O -p/f. U(L 40.00 40.00 20.00 36.00