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HomeMy WebLinkAboutPermit Electrical 1996-1-18 . . . " . ~ following project as Bubmttted . ilml. and foes not require speclllc a p""",,l. J:?C,; zoninpffi /.\ I . DOlo1:/ ~ ~ ELECTRICAL PERMIT APPLICATION AUl.hortZedSJ,gnBturePfr.;tv'nh t.r"mher .qS- )E)4S 3. COMPLETE FEE SCHEDULE BELOV U-J! 0 -ti- ~ q~-O J 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION ..2~~~)I~Yn-piC \1~~\~W2- A. New Residential-Single or Multi-Family per dwelling unit. Service Included: It ems 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 ......-:: JOB DESCRIPTION JFI'I-lr ?(\II'~J\ 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 .B. Services or Feeders rf)' C Installation, Alterations Electrical Contractor-P 1Ilrlp~ clectr,'cor Relocation: Address 2g~ Mnn'(('P 200 amps or less 201 amps to 400 amps City El1Or:np Phone 4~-mz:2. 401 amps to 600 amps ~ 601 amps to/1000 amps Supervisor License Number :J... 'J 7 () - ,<\" Over 1000 amps/volts J {):.. / - 9 (/ Reconnec t Only Expiration Date Il' Constr Contr. Number 4ZCf(o Expiration Date 1~-/iJ- C}b ~) . -ltf1 The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: DATE~-----------------r:-t~;C3\tZf---- RECEIPT 11: I.J...... 1\7\1 i-\/\ RECEIVED B~' ') 0\Ptt7f1..... . -- $ 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 I 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 4O'()O $ 55.00 $ 80.00 see ltD" 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 Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL -A-_.?I