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HomeMy WebLinkAboutPermit Electrical 1996-12-5 . . SPRINGFIELD " 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 726-3769 1. ~OCATI06 OF INSTALLATION . ~1 I Y VI/UP)l -" ~GAL DESCRIPTION 170 ;}o;;z,nf:)l"lCQ 10 () JOB DES~ION ~ t1Y-/}A./~ 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 Electrical contract<\::A~Qi I flQ~ Addr~s \C\.I\[) Q.,<?,-.\-V\ B ~'.- . Ci t,6,JD!J fl., Phone\4"1. 'Z2l3 supervis~J.JLicense'Number ~ir~~ \D. \ .qr Constr Contr. Number l ~('V"\~ Expiration Date ~.~~..tt- ~,\:'~~;;;,1';)li'i",.-.".<"i<i" ::=r-- ((])f) Owners Name )ddress / . Ci ty ~Y\V1 01lNER I S Expi ra t ion Da te The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ~~~~~-~;z~~~~-~--------------- RECEIVED BY: /I.b:1 _ ELECTRICAL PERMIT APPy:CATION . City Job Number q ~ (() 1-L{ 3. COMPLETE FEE SCHEDULE BELOI/ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder .B. 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' 'OT less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm D. Branch Circuits ( I New, Alteration or Extension Per .~","~,,/ ^'lI..,1' One Circuit ( hone (O((Q~~}C) Each Additional Circuit or with Service LATION or Feeder Permi t Lf E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL . Panel $ 35.00 3~ ~ $ 2.00 not included) $ $ $ $ 36.00 t;3.,(}D 40.00 40.00 20.00 'l .I C, 1;)..4 L/h,tIL/