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HomeMy WebLinkAboutPermit Electrical 1996-6-12 -If :\" Zoni~ l' J {) 225 FIFTil STREET SPRINGFIELD, OREGON 97477 Dl!le~ .. INSPEcrION REQUE'ST: 7Z6-3~g~orfZed Signature ;~ OFFICE: 726-3759 ~ ~F~SlWT~O+ , \.Jf~~~~~i\~t) t\J0B D~xrION {(l\. Jv . t _ )l.\ l/'(\ ill~ \JJ~.t., -ffi-" Permits are non-transferabl~nd'eXPire if vorkis not started 'vithin 180 days of issuance or if.vork is suspen~ed for 180 days. 1. 2..' CONTRACTOR INSTAlLATION ONLY Electrical Contractor PHTf.TPS Add t"?SS _ 117() Mp.::lnm,7 r ;:mp Ci ty EUQ'ene Phone 688-6121 Supervisor License Number 2719S Expiration Date 10/9~ Cons tr Con t r. Number 20-179C Expiration Date 10/95 ~ (\.-~A~ Signature i,f s~erv~s~:g ~.ct.~ician ./ ( ----\J i I "".&J \).~. 9hl\I'f'$ D -I; Owners ~ (1l~(\~ Address _ ~ ~~Q Q ~II CityM' Phonel44.la~S I' ~\lNER\ rldrALLATION I The installation is being made on E. property I o',.m vhich is no t in tended 'I for sale, lease or rent. . Owners Signature: ~~~~~--------Co:\\~C\~------~-------~ IZECEIPT jj: r JJ\tlot RECEIVED BY; ~,~ ELECTRICAL PERMIT APPUCATION Ci ty Job Number Q. \oOl11 3~ COMPLETE FEE SCHEDULE BELOV ., ii A~ ~eT.J Residen'tial-Single or ~ulti-Family per dvelling unit. Service Included: Items Cost Sum il I' .1 Ii d " II II I, II I I B~ jl II II " 'i I, 'I I I c~ I , ~OOO sq.ft. or less Each additional 500 Isq. ft or portion ! thereof Each Hanuf'd Home or lHodular Dvelling !Service or Feeder S 40.00 $ 85.00 S 15.00 ~ervices or Feeders ]nstallation, Alterations dr Relocation: . , I ioo amps or less 201 amps to 400 amps ~01 amps to 600 amps qOl amps to 1000 amps qver 1000 amps/volts p{econnect Only I I ~emporary Services or Feeders lnstallation, Alteration or Relocation S 50.00 $ 60.00 $100.00 S130.00 $300.00 $ 40.00 zoo amps 201 amps Over 401 qver 600 i or less to 400 amps to 600 amps amps or 1000 volts S 40.00. S 5S. 00- ,. $ 80.00 see "B" above ~ranch Circuits ~ew, Alterat~on or Extension' Per Panel One Circuit I Each Additional , ~ircuit or with Service ~r Feeder Permit $ 35.00 $ 2.00 ~iscellaneous (Service/feeder ~Each installation ~ump O~ irrigation ~ign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) I II I I I sJ SUBTOTAL OF ABOVE II ~% S ta te Surcharge I . j% Administrative Fee I TOTAL ii S 40.00 S 40.00 S 20..00 $ 36.00 ~r{) :a,~~ _~e. ;-S '6 .f<;'~