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HomeMy WebLinkAboutPermit Electrical 1997-6-6 v' ~'~;'::C\;~r-'- G,;~~ "V~ '::'":..::~~.,. .. '. "i. 7.onb" 1f\f\1lI If f .~~QV Dc.i01t.1L tr Au~horiZ;:-j SignaturG n h^ 97477 - ',", 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. 4\9[~~4\~T~&~'\\i~ \ ~~~~~OlYd.~ ~~~D ~OB D~SCRIPTION ~~\ Vf Permits are non-transferable and expire if vork is not started within 180 days of issuance or if vo~k is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical contractor~\f"~tt Addressrl4'1\ ~ \.\1. ~l\:~\\q Ci ty \\\ \\cs'\1)'<D\ O~ Phone!iJb tf::10't lD<6't1 'Supervisor License,Number :\~~i\~ \().\.c\<6 Constr Contr. Number ()\\~CY\\ Expira tion Date 4. . \~ .C\ ~ ~~lectriCian Ovners Name~e~~~~ ~ AddreSs\\)() ,\~ A~()~~ City,\ ~\\~- ~honefiJ~5\~ O~ INSTAL~TION lo ~ 1 <6 Expiration Date The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE~---------------\O~~C\~-------: RECEIPT #: \. \, 'V\. 'r~\^t'\\A" RECEIVED BY: \1 \i {)J-~ ELECTRICAL PERMIT APPLICATION Ci ty JuL' Numbe~ C\la O~\ 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum \f)DpO ~DPJ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dwelling Service or Feeder Items A A Cost $ 85.00 .s 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 $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits ," New, 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. SUBTOTAL OF ABOVE A;o90 5% State Surcharge - \ \ .So 3% Administrative Fee Ln .qO TOTAL N4 K' ~