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HomeMy WebLinkAboutPermit Electrical 1995-10-27 ~ . -. SPAlNCF1ELD " ~$JJfA,. fJ;l.;;ii{ ;1/ i'J!j~ / =?' >>f');1 :{~ fH_~~~~,:.,.,,~ 6',,' ',9>'>" , , . . d has the 10 ~l[f,.;^;' ~.4:l"" -.\ T "olJo\'Jin::l prOle c., [\$ ..u.bmlte d,e _.:t-..-_ ,1li~')". '. . ;1::,~, ,..J-a'oos. net roqUlfo Sp6..;lf!c ia:1 ue: . Ze-"ilg, e!1~ 225' FIFTH STREET, ". epPI0V"~onjng-i/.L ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Do\e IJJiU /JA1 ./ / INSPECTION REQUEST: 726-3769 :::JSlggnnaattuurEra "t".y J;i.'" 'r" Number -9........ , , '> .-,-::, OFFICE: 726-3759 Aulhonz ...' /h ,./ 3. COMPLETE FEE SCHEDULE BELOII q~(0f!3 1. LqCATION OF INSTALLATION -1-/ / / O/f'nr;//f? LEGAL DESCRIPTION /7/>>~ :</) 1")0 /J~/'}-)) JOB DESCRIPTION 'AA "'^ P .<::"1-A-.tI::lU Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. A. Nev Residential-Single or Multi-Family per dvelling unit, Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dvelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders Installation, Alterations Electrical Contractor ~~An? ~~T~/r or Relocation: Address 310"'2(" CE:rJ:f) "'- ':ils..' <: City jOLt:-~1JI ttKc.. Phone 7ZhDt.,~1 Supervisor License Number 3Y"l"Z..s Expiration Date 10/ { 1'17 ConsU Contr. Number 8"-/(.,,7'0 Expiration Date 7 J /4/ <f1>" Signature of Supervlsing Electrician ,,1w-M~~ ~' ~ D. Ovners Name ~.A7J.<;~ / !)A-7iI,()e?J Address City Phone' O\INER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: '-~A~E~----/~-/-;7~J------------------- RECEIPT jf:' ,L ~42 (,p ~ 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 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 500~ 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 100u $ 40.00 $ 55.00 $ 80.00 volts see I'B" above Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service ~ or Feeder Permit ~ $ 2.00 IDO- E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 o 5. /O~ . SUBTOTAL OF ABOVE ~ 5% State Surcharge ~DO .3% Administrative Fee ,i<~ /'L.>4.f!:>tP