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HomeMy WebLinkAboutPermit Electrical 1997-7-28 (2) " . , , ~orr.'t- , , ~~'(\~ ~o~ j..,?\rr.~ ~ ~\'i \':> i\\C~' ~,,\..\.. € '(\\':> '?~~ ~ y.Orr. 225 FIFTH STREET ~O ~rr.\t-\'i CO \j~'V~rr. ~_ ~~'VO~:bm~\' <1 ,,-J;:U:0TRICAL PERMIT APPLICATION SPRINGFIELD. OREGON ~~~a1lC.)}jO':I'i'i\S t-~c\ es uire npco"ic I~nd u.J ~ "7 r-- INSPECTION REQUEST: '7 ~\I"""'~'!h-Y~P'P..o OQ~ not roq J' Ci tyJob Numb<rr 7'7 tJ..) /' .J OFFICE: 726-3759 t>I ~~~rnov~~rr.~ '\ A Yr, - CO~ '6<:1 'V~'l Zonir.o 6.^-- -::.GIlPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLA~N U/<f1 -'-~5L9 'Z>erS..c# DEdo1!... ' rl.I'fJI'iAResidential-,jiingle or Auth r1zedSlgnalUre....!...l:l4lL-tdllllJ.Y per dvelling uni t. o Service Included: Items Cost LEGAL DESCRIPTION /It:r3?.h II & t:J...;L..tPO JOB DESCRIPTION /$r?/ eco--c..,/ Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor ~p \ lS\\)\~0 fl()()t Addres-s~~ 0pf\6\ \\lDd . Ci ty & ~~ Phone .'1A?i119J Supervisor License Number ~.~~~ \f\. \. Constr Contr. Number \\IJ...~ ~.~, Expiration Date Expiration Date Signature of supe~~ ." D. W.6l~.c. Address ~S-cP 7::>.tn?"c# Ci ty S'~l:> Phone , O\INER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ~~~~~==:J~--~~~--~------------------- RECEIn If: . (,'1 RECEIVED BY: W.___ Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dvelling Service or Feeder $ 85.00 .$ 15.00 $40.00 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 -L $ 40.00 ,yo.o?> 201 amps to 400 amps' $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 100u volts see "B" above Branch Circui ts 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 $ 36.00 5. SUB TOT AL OF ABOVE -f"tP. c- C/ 5% State Surcharge ;)., O'C? 3% Administrative Fee / , ,.?.&'. TOTAL ~ -0/1 r :?-o