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HomeMy WebLinkAboutPermit Electrical 1997-3-7 , , d h '"-f'"'' ,'., ..' rO'ject as nubmm.~ ::n Ui.. ....~...l,... P ; 10 "'wmg P 'f' In'' ~ J .,' doc'" not require SpCCllC ~. U - "", J.n CI .., .......r--l(c,....ai. 111/ 225 FIFTH STREET Zonina SPRINGFIELD, OREGON _?) 4 77 P>-].::J:1 INSPECfIQN REQUEST: 726=:3"'l69 ~r^ OFFICE: 726-3759 ,\ll:horlzod Slgnaluro ~~TlfN~IIINSTAL4ATION ELECTRICAL PERMIT APPLICATION ,Ci ty . Job NwnbE;r !1.itl!ilJ COMPLETE FEE SCHEDULE BELOV 3. A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: DESCRIPTION f? ~ o rOuJlJ Permits are non- ransferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACfOR INSTALLATION ONLY B. Electrical Contractor \1"P\ lS\tJ\r\:') fl()& Address~~ 0p{\~\ \\lDd . City S "G~ Phone ?A'?J..J.illJ Supervisor ~ic'ense Number ~~tJS Expiration Date ~\\. ~. Cons tr Con tr, Number \"\ 'L c;:{,)_ Expiration Date ~,~, Signature of Supervising Electrician ~---=-~ 'ovn~am~+- ('v?lmJ/ Add ress ~4LJ ~ :fu I dt, vi to Lu..h~ Ci tSorIrr;~Phone jl./7-(o7(}f ~R I~STALl.ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ~~~~~--:s-t---1Z1'~------~---------- RECEIPT #:' I, i.Y i u 7'1Q RECEIVED ,BY: .' . r)f Iftl 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular .Dvelling 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 C. Items Cost Sum $ 85.00 '$ 15.00 $ 40,00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less L $ 40.00 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps Ot. 1000 vol ts see "B" above Branch Circui ts ' D. Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circui t Each Addi tional Circuit or vith Service or Feeder Permi t E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ $ $ $ LID. DO "JDU ........J. ..l-U --q-:>. .).. U 40.00 40.00 20.00 36.00