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HomeMy WebLinkAboutPermit Electrical 1990-3-5 , The fo!lowing proloct as aubmllted has the 10/ ZOr1!n\.,! :mo does not roqulre specific land U8G appro""I. . Zonino tAl DOle':?-i; j[;6 .. 225 FIFTH STREET SPRINGFIELD, OREGON 97 41Wthorizeej Signalure INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 r..,q,CAT,IO~ qP INSTALY.T:W~ -J.- 4JL/ U I nmnlYL ~~'+f.'gCA I ~~E!i~p"rrEQQDO }yg~~JlN&- d~~ Per~its are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 1. 2. CONTRACTOR INST~TION ONLY .B. Electrical Contractor Deo..W$ ~leLtFtlc. Address P.D, go-;%. ?.C;~S Ci ty Z~ '1 eoJ e 'l7</u" Phone q ~~ - <; ~03 Supervisor License Number ~:?I'1 S' Expiration Date IC>- \ - qq Constr Contr. Number qq ~7'1 Expiration Date & -:W-9Q Signa~O~iSing Electrician Ovners Name 0X\!un rtQ V (~Q f) Add~S~~~ ~l\A~ - Cit / _ ~ Phone...~4-S-,q"{{~ o INSTALLATION' The installation is being made on property I oyn yhich is not intended for sale, lease or rent. Ovner~~signature: ., DATE:. ?--:?~~ N>\'J:..LP1' 11: ';.t:"'7~ 7 RECEIVED BY:~~~ , nfY\ ELECTRICAL PERMIT APPLICATION v...7 Job Number 0\ 3() Il, ~ 3. COMPLETE FEE SCHEDULE BELOY . A. Ney Residential-Single or Multi-Family per dyelling unit. Service Included: 1000 sQ.ft. or less Each additional 500 SQ. ft or portion thereof Each Manuf'd Home. or Modular, 'Dyelling' Service or Feeder Items Cost I 3 $ 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 $ SO.OO S 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 Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts: see "B" above Ney, Alteration or Extension Per Panel One Circuit Each Additional Circuit or yith Service or' Feeder Permit $ 3S.00 $ 2.00 Sum Ae:, 45 ," Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE S% State Surcharge 3% Administrative Fee TOTAL S 40.00 $ 40.00 $ 20.00 $ 36.00 \. OVcV lp,C'{} lJ"un \4-n 4( j