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HomeMy WebLinkAboutPermit Electrical 1995-2-28 . ""---.... ,F' . t >B ~.~ ,.... .~.~ .-- ...1 .?,L."\ ~ 'l'lf'")IO(:., ~~. ,,'....., .. ,We hn... U<ow ~~ir>('\,erv'~" ", "J n:t1JiiB :~p8...' ~ '. t-D~__ .i..,jn\ng _.-_....~ 97477 7r~..-c,~ ' , - 726~l?){.:~? _-'- Ci ty Job Number ~ br'J 24'S' , 'dSignature~ << Authorize 3. COMPLETE FEE SCHEDULE BELOV e.~'i" 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. J,.DCAJ'IO~ OF INSTALLATION /~7t, J..~~' LEGAL DESCRIPTION J 7~ ~ Z 7 4/ ?)-93l}O '-" A8~ ,~DESCRIP'{ION , _. 1f;J \-A~7F ~ ~ ~I+f' '7ZA{.A, t Permits are non-transferabl~ and eX~ire if work is not started within 180 days of issuance or if work is suspended fOT 180 days. 2. CONTRACTOR INSTALLA~N Q Y Electrical Contractor /AO_.2'~~" Address "3 ~ /J.... 7~.1.)U4J D-(\ City G?-,) Phone ~K?-d-S'7<9 Supervisor License Number 6? <j- S Expiration Date /0-1- 9'5 Constr Contr. Number ;;;"6 -/7' ,-C Expiration Date /0 - I ~ 9.5 Signf)ure Of.,. Supervisirig Electrician N~~1) r U. Owners Name ~~/ !ke,r~) Address City Phone OVNER INSTALLATION The installation is being made on property I own which 'is not intended for sale, lease or rent. OWners Signatu+"e: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: '2~2~'-7Y /~ 4~3 ~,?I&~ ELECTRICAL,PERMIT APPLICATION . A. New Residential-Single or Multi-Family per dwelling unit. Service In~luded: Items Cost Sum .1000 sq.ft. 6r less Each additional 500 sq. ft or portion thereof Each Manuf'ctHome or Modular Dwelling Service or Feeder B~~C~ Feeders " qstallation, Alterations or Relocation: $ 85.00 $ 15.00 $' 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 $ 50.00 $~'- $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 'amps or less 201 amps to 400 amps Over 401 to 600 amps ~vet 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Ad9.itional Circuit or with Service, , or Feeder Permi t I ' $ 2. 00 ~,b1 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outli~e Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Su~charge 3% Administrative Fee TOTAL .~ 2.. cro ?~ /. ('"6 c:- / J~ U<P.