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HomeMy WebLinkAboutPermit Electrical 1998-1-14 SeGFIELD ..." "... " I 'oning, .nd do.. not require opoclllc land LDolnr/CE ~? . ~p'oval. -nrv ': ~fi zoningJtLIf THIS PER:vI'T SHAll EXP/R - IFI /0 ^ E IFTHE WORK Dai.~ r.IJTHORI,:ED UNDER THIS P 225 F\IjFi'lJlkeS~~ro (\ 01.- Cr,JM,.nENCED OR IS A8AND~~~TPERHIT APPLICATION SPRINGFIELD, OREG(m-If,'"" '",'v 11' ' NED FOR a (7 (;OS ;) INSPECTION REQUEST: 726-3769 ,O,)AYPERIOf.), City Job Number 11> ~...., OFFICE: 726-3759 1. LOCATION OF INSTALLATION '1:2. c.~: r'/-I#ArA#"T ,ilL.,/). 3. COMPLETE FEE SCHEDULE BELOII A. Nev Residential-Single or Multi-Family per dvel1ing unit. Service Included: I.J,.EGltL DF.,SCRIPTJ;P,tl. 0 InJ.'ll.l1" ll"-Il'l (, JOB DESCRIPTION fd /(,vlC-l/ ~.qflo'2'~'" Permits are non-transferable and expire if vork is not started vi thin 1BO days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Elecnical ConnactOL" AAI9 & /A/C. AddL"ess ~_O- /fox- i-6"6' City 1f-?P1"I'/./.l Phone 9'J-r:.. 4"""orZ- SupeL"visor License Number ,. ~ I] Expiration Date /0 - / - t:1 r Constr Conn. NumbeL" /2./ Y'7 J Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. f t or portion thereof Each Manuf'd Home, or Modular 'Dvelling Service or Feeder B. SeL"vices or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amps 401 amps to 600 amps 601 am~s to 1000 amps Over 1000 amps/volts Reconnect Only S 85.00 S 15.00 S 40.00 $ 50.00 it1 ~ $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date ij- /,. 1Y , Signature of Supervising Electrician h,.~ c.- ./~ Ovners Name ,T/-'IC.uA<rt PAl';''''' If A: Address ~ ~6" ~#-I"I.r"",,"/T "'-f'-t//). Ci ty ~~/Z-,~J;,4~(? Phone 726"- 7rr/ OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease OL" ren t. Ovners Signature: D~TE~-----7-i-j~icrgf------------------ RECEIPT ~: l f) -'- Y, \fY.LJ _J RECEIVED BY;- 'l-fVWV 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits S 40.00 $ 55.00 $ 80.00 see liB" above Nev, Alteration or Extension Per Panel One CiL"cuit $ 35.00 Each Add it i onal 0 Ci L"cui t OL" vi th Service ~. 9._U or Feeder PeL"mit ~ $ 2.00 ~ not induded)' E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited EneL"gy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20,00 $ 36.00 Itf'.." ~~2,Di) i.fiil) j~ J:)'to. iJ;L ~