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HomeMy WebLinkAboutPermit Electrical 1995-3-28 - ., .' 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Zoninp In 9f{l/17 3,-Lc -'i~ ,72~iHJi~jgnatlMll (I/ M 1. 4~\rfo~{ ~I~~Y0 .J \l)lft~~rtON ca\['(j I'\JOB DESCRI!::N ' .A-. I..Ovof"~,,- ill) perm:t: are non- ransferable 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. Electrical contract~~ \~ rlod Address(J1(\\ ~~~~ Ci ty YJ. Y10 NL Phone~t6. m~a Supervisor ~icense Number ~ Expiration Date \0. \. C\S- Constr Contr. Number~"':A2..C\l..9-- C. Expiration Date \IA . \0 .C\Lt Signature of sup~ising Electrician a~'V~ Owners N;~ )~~ 9Q1) . l' _ D. Address~ffi \~j?'tl_hd~.QJ JIJJ?-, Ci ty _ <;: 0 Yff fQ... Phone ~A~ . 01'6.3 OIINER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent. OvnersSignature: --------------~\j- ", ---------------- DATE: ~. lt9.G\ ) RECEIPT 11:. Ii O'\l\"t..:-J. ) RECEIVED BY: .. , iJ'l.L:XyJ ELECTRICAL PERMIT APPUCATION City Job Number C\4-'A'llp 3. COHPJ.JITR FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: .' Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular. -Dwelling Service or Feeder $ 85.00. $ 15.00 $ 40.00 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 Reconn<::ct Only \ , ro .iJL2 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 1000 $ 40.00 $ 55.00 '$ 80.00 volts see "B" above Branch Circuits .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Servi~~ or Feeder Permit ~~'L- $ 35.00 $ 2.00 lA. E. . Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 Ir):\ .cO 0..11 ) .D. ~2.. 1'r")"'.41~