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HomeMy WebLinkAboutPermit Electrical 1995-3-22 . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: '726-3759 1. LOCATION O~TION ) rD L~ ~ :RI~I~ _ P (' \~J;.f 7)\Q.r/) I JliO~S~f\O ~O'Y\.. , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ELECTRICAL PERlU~r APPLICAT~ "J.... Ci ty Job Number Q~l..lJl' _ ) 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof. $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Alert Electric, INc. or Relocation: Address 1970 N. 28th City 5Drinafield Phone-2i,7-2211 Supervisor License Number 34015 Expiration Date 10-01-95 200 amps or less I 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 -!5D $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 20-55C C. Temporary Services or' FeE,ders Installation, Alteration or Relocation Expiration Date 10-01-94 Signa ~~f 'super~ng Elec trician c-4g;/?,-4'/~~/-- ;, ~ // ~\' ^~ ~ D' . Owners Name \ '1 ~ r ^ 'ULV . Addres~IQ f] .1 . Ci ty (<[i}f tY ,~ Phthe ~ALLATION The installation is beirig made on property I own which is not intended for sale, lease or rent. OWners Signature: ~\ DATE:---------------~-~~~:~---- RECEIPT 11: ,~ \~ r~ RECEIvED BY: Kd /'iI' ) \ \C - ( 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 "8ft above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Servi1~ _ or Feeder Permi t -!.il' $ 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 TOTAL . $ 35.00 2.00 ~ not included) $ $ $ $ 36.00 t~.cb _:J 114 C1,SCf\ 40.00 40.00 20.00