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HomeMy WebLinkAboutPermit Electrical 1998-4-13 SP.FIELD .......". , .- 2.0ni"9_r (' / . '" ~<9 O~C'~ ~ '(V>- ,0-" ". \) c /~ ~?J . r" j~ /...,:... f\,'-^ "/, O~ V-9, ~)' ~ S~a\.ure-U-r v' "J- ~~~ ~O <9~ 22~u'ffn8 STREET .~O V~ V~ '9(( ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 0", ~O V~ ~-I:o qd' ,j INSPECTION REQUEST: 726-3769 }-,<)~ ~0 19~ 1f9~ City Job Number 'b 0,,3/ OFFICE: 726-3759 ~O "'& v.s>,O <<-,h.r V '91-'d' ~O~TE FEE SCHEDULE BELO\l 1. LOCATION OF INSTALLATION 'V1l ~)' '1-0 /1.{, P,h...,u.. ~/c.......~ e....{' f- . A. ~<:l-le~~s~ntial-Single or , M~ti~mily per dvelling unit. Service Included: LEGAL DESCRIPTION 11 () 1, as ?, I ~ D (oSrJ7) J9B DfSCRIPTION ~ ~ 'f/lo'l..",,1.'d 5Jfk-'I.',:" ~ ~'. Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractorl/()f f'~c..vtt.~ Address I ~"I ,it?,.'^~ ( ~ / C,~I" tJ: CitY~.e- PhoneJ't'Z.-fff1 Supervisor License Number ~ o)"} oJ L E: Expiration Date j tJ J ,19 <j Constr Contr. Number ;)..(2. () ~ Ct. If: Expiration Date Signature of Supervising Electrician .d~~ D. Ovners Name iJ:..../;e-." -r-&.LDu.#-t. "...~ . . Address tlt~ f.Ovc.rlA f...,./4./_ ~..s-r Ci ty FfJ/l.: ~':" -f'CT. tv{ Phone 1.:U~ (~ O\INER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ....- --------------------------------------- DATE: 4- J~v<=tq;, RECEIPT #: ~J./lD'" RECEIVED BY: ~.J Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Mqnuf'd Home. or Modular'Dvelling Service or Feeder S 85.00 $ 15.00 $ 40.00 .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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 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 --1-- $ 36.00 J'~ 5. SUBTOTAL OF ABOVE 't' ~~ 5% State Surcharge --L-' 3% Administrative Fee \, ()9 TOTAL ~g.~",