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HomeMy WebLinkAboutPermit Electrical 1998-5-18 (2) , . The following project as submitted htllllho to! zonl"-.l and does not require spociflc land uno a: "'.....~al. Zoning W V c 5--16-4g: 9747,Z"iOfized Signsture 1\'\ '("'\("'I 726-3769 - 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: ,726-3759 1. LOCATION OF INSTAL~ION I~I C) '. (:>.V""\~N_rA ...,,, II) t-5.~~~I~ ' ELECTRICAL PERKIT tf,PLICATION Ci.t?'- Job Number V\~[,)M~ 3. COMPLETE FEE SCHEDULE BELOY A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum ~:~':~~~"b:' "., "pi,. :;l:,!!:!;i::;::!!~ if vork is not started vi thin 180 days Each Manuf'd Home, or of i~sua~ce or if vork is suspended for ~dular 'Dvelling 180 days., u..~ ~OS'e~vice or Feeder \~~t' c.,~O 2. CONTRACTOR INSTALLATION ONLY ~i-\l~\'?-~ ~~~swvices or Feeders ~.... ',\;,,, ~\W ~\~ ~.o...."\(l ~~'Stal1ation, Alterations Electrical Contract'l.F'~\V"',.\"(':l'f-l"'" ~ ~O~€ or Relocation: ~- ~'" '\j~\j 'S>~~...... ' Address ~. U I \'1::>'1 ~ ~O f'o.\~~ . 200 amps or less ~- \)7 _6C\).; 201 amps to 400 amps City YO,'^-l.... ~,.l..c ~o ~f9IWI'.Qj 401 amps to 600 amps ~~~~'~~ 601 amps to 1000 amps Supervisor License Numb'P~ -1,\\, L\ IS. Over 1000 amps/volts I Reconnect Only Expiration Date \1:> \ , P)"I Constr Contro Number \'dSt.:" ~ Expiration Date \11/1:'/ ~1 I Signature of Supervising Electrician ~ V v1A ) Ovner~ Name. C. ~n:.~~~,-I \~~ ~D.;.. Address <6~ ~~ Nc.A b-v<-' Ci ty <1.A^\ ('vC/ Phone II...,l..\,;;: -1~(,,'1 OYNER, INSTALLATION $ 85.00 $ 15.00 ,$ 40.00 $ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00." $ 80.00' volts see "B" above Branch Circuits .' 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 1_ $ 20.00 ~LL- Limited Energy/Comm $ 36.00 The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE~----------l----~----~~"~------ RECEIPT 1I: J ~5 ,!). 'ro, ' RECEIVED BY: ~~ . V.\- ,3\ 1) . '- \ \ 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL Q'~ 'P \ ~v h," 'J\ c...\l