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HomeMy WebLinkAboutPermit Electrical 1994-7-19 t I . . ,,' ~... ZoninCl Ollie 1- (e; -'1 c.r 9~ ~'f!W Signature ELECTRICAL PERMIT APPLICATION (;; L/- (J)3/ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 flf'I-- ~1ty Job Number 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION l~JI ~NF-E.l Plc!wJ EA-SJ_ LEGAL DESCRIpP:ON. -"-.:I:a(;2t 1'7 D7'Z-.bZ3 0 I qiP A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cost $ 85.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder JOB DESCRIPTION \ N. <,,:TAlL SE Cua \ -rY S:tg E' I'l'l $ 15.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 1$0 days. 2. CONTRACTOR INSTALLATION ONLY $ 40.00 Services or Feeders Installation, Alterations or Relocation: B. Electrical Contractori.N"\8c1l06."7.sO E't,"c7t""I(, ...-t'$"l' f3'U I ' NC . Address -2:3,'2. l..-.L <:;;:"1'11 City Ev<aF-N.':S Phone ~8~-4.q.<;lc. $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps 401 amps'to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Supervisor License Number \<:::; 2.,~J.LE- Expiration Date k) / I {eel.:, Constr Contr. Number /c'>-'t:7CCLf: Expiration Date IoJ 1/'14- Signatute oF'iu~envising Electrician 1LJ~~ Owners Name K'ADIO ~r.( Address ~ oNe cAloJO( C F-Arrrr<<.. Ci ty FDa. 7 c...J::>IZ7H 1XPhone 8/7 (7). ?o~O Temporary Services or'Feeders Installation, Alteration or Relocation C. $ 40.00 $ 55.00 $ 80.00 see "Btf above 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits D. New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 OVNER INSTALLATION 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 ~ $ 36.00 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 3(.,. a0 I /'1.-) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ---------------------0-- -------------- DATE: 7 ~5' '5'C;;? RECEIPT II: ' (.' j "'?,1;:tJ RECEIVED BY: -1 _ ~ ..... I ,'lZI "t.ll'.."u:>'