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HomeMy WebLinkAboutPermit Electrical 1996-10-8 , . SPRINGFIELD The following project os submitta os 0 0 OWlng zoning. and does not roquire specific iBnd uno appro~va~oni I ",J)1l- . . ~ t{(p ( Date ..P 111/'\ 'J ELECTRICAL PERMIT APPLICATION 974"lJ~lorlzedSI9neture I{\, 1~,IL/ c;>. /_ // 726-3769 Ci ty Job Number I V 0 c.p 07 3. COMPLETE FEE SCHEDULE BELO\! 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLAT7g~ IL ,.. f\ i j 9<j() () l /) ()~,( /7 LEGAL DESCRIPTION 03 d3> ()o0103 JOB pESCRIPTIOt/) )LJ " S;''NJl'''~ rr~ ,I'---\-' 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 9~Y .8. Electrical Contractor t?,~tof~~ h/,,)t, Cjl{d-, OL I VE Phone ~ JfI-g).E7 Address City C\.(~A Supervisor License Number Expiration Date Constr Contr. Number (f; 7(/1 S' Expiration Date 7/I~J97 Si~~erViSing Electrician O~ners 'Name_~rf' rB I' (~ D. :? ~\'7 ) R, ~ /1;,-'J PY . City CLto~ Phone Lf~!J'-317~ I 'O\INER INSTALLATION Address The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: ~\ ~~TE~/lz)-::;r~~~~----------------- RECEIPT 1I:.i)~.~50l.r RECEIVED BY: h . II{cko..l1~ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum It ems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufld Home. or Modular 'Dwelling 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 $ 85.00 $ 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 see ."B" above .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res / $ 20.00 --L-- Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE .~. trV 5% State Surcharge /, (5lJ 3% Administrative Fee u, (, TOTAL ' , ;}J. u, ()