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HomeMy WebLinkAboutPermit Electrical 8-3-10 ct 1'& fODowIng ~.. tvt-...rxPMI...1lIIIolIIInO toning. end ctoC3no& rOqUIro epcoIo bid UCO.. ...nnroval. . ~.., . 'ldJV ZoninO . . 225 FIFTH STREEToete ,~l D-q cg, SPRINGFIELD, OREGON 'j i 41) . n m INSPECTION REQ~~~~ . OFFICE: 726-3759 '1. LOCATION OF INSTALLATION -:2")~~ V/t: t-A' ~.~ - ')., - ,. . LEGAL DESCRIPTION '/~~":":::.~-7~ z;:e:>~'3' F JOB DESCRIPTION/,:,.,. .. _ -I~?~~,~ ~~~e' Permits ~re non-transferable and expire if ~ork is not started within 180 days of issuance or if'~ork is suspended for 180 days. ELECTRICAL PERMIT APPLICATION City Job Number . 7'~(> . 3. COMPLETE FEE SCHEDULE BELOY . A. New Residential-Single or Multi-Family per d~elling Service Included: . uni t. Cost $ 85.00 $ 15.00 $ 40.00 Sum Items 1000 sq.ft. or less Eachaddiiional 500 sq. ft or portion thereof Each Manuf'd Home- or . Modular'D~elling S~r~ice or Feede~ . . . . . 2. CONTRACTOR INSTALLATtON ONLYB. Services or Feeders ~~ ~ Installation~ Alterations ElectrIcal Contractor C~A;;e=~ >- O~ or Relocation: " . ~. ~ ~ e--- Address , ~ v~ .~ ~OO amps or less. . $ 50.00 ~ ~ ~~ .~: ;s>~ "201 amps to 400 amps $ 60.00 Ci ty Phon.e ~J.. ~ ~ ~&01 amps to 600 amps $100.00 .~ "'6 ~ ~1 amps to 1000 amps $130.00 Supervisor License Number 61 ~ %O~~.I-. 1000 amps/volts . $300.00 J-...o 0-9 ~c~ec t Only' . $40.00 Expiration Da te ~ ~ ~ ~ . . '~'b f~~'~~i~ Services or Feeders . Cons~rContr.Number . ~(~a~n, Alteration or Relocation . ~~)-~ Expi1.~a ti on Da te 200 ~,.gS{j>>T ~ss $ 40.00 201 am~ % 4to amps $ 55.00 Signature of Supervising El~ctrician . Over 4c5f to?'600 amps $ 80.,00. O~er 600 amps or 1000 volts see "B" above ..... D o~ner~'Name~~~~.~' . Address' 2 ?r,?> ~aA-~ . ... ... " - Ci ty ~~ J9;:? Phon::~~~ . O~R INS;AL~.? ,. . .' . The installation is beih~made on . property I o~n~hich is ript intended for sale, lease or ten.t'. OvnersSignature: ~J2-H~ - ". :~~. DAT~~-----~-"S' \f):qL5~-~7---------- RECEIPT ti':. i -' ... " lJ.4.At=:./1 RECEIVED BY:' r7\W.~U , . Branch Circuits ,. New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit ol:'~ith Service or Feeder Permi t -;z $ 2.00 Y E. Miscellaneous (Service/feeder not included) 7"Each ins talla tion Pump or' irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 . 5. SUBTOTAL OF ABOVE ~ ~. ~ 5% State Surcharge ~ 2...;e:> 3% Administrative Fee t. ~~ TOTAL ~ "7Z-