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HomeMy WebLinkAboutPermit Electrical 1996-1-2 (2) -e SpAF'ELD The fOlloWing , Zoning and d prOject as submitted h approv~J, oas not require specifl'cn...," the following and Use ZOning_ LD/J, Cate, .' - 2.-1k 97 'AUncri'fi<i S' J I "A 726-376'J Ignsture f'J ,-, , 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. J,.QCATI~ OF INSTALLATION ~JT -, \ 1Jol.X:.U'6 Dfl.., LEGAL DESCRIPTION L.:1\(p, JOB DESCRIPTION /LI ~ FZ Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ELECl'RICAL PERMIT APPLICATION City Job Number 3. COMPLETE FEE SCHEDULE BELOII Q50 7;;'Q A. Nev Residential-Single or Multi-Family per dvelling uni t. Service Included: It ems Cost Sum 1000 sq. ft. or less $ 85.00 ~0. o-V Each additional 500 sq. ft or portion 'V ~ thereof $ 15.00 Each Manuf'd Home, or Modular, Dvelling Service or Feeder $ 40.00 Electrical Contractor #Lb"..(J ~d-.~o 3A22 5/; Address / .2 ~ 0..1 Ci ty ,A.t#1)f2,4<; Phone.LJ 7 \- - .J..) } 't Supervisor License Number /dJ <::J::>~~ Expiration Date /0 - / ~ <;,' Constr Contr. Number 6$ 7~S- Expiration Date '7 - L/ -9~- Signature of Supervising Electrician -!?/~/ ,-,~A"'~~\ D. Ovners Name .1/ ~ l>A.A...J Ed ,;::r -vc-, Add ress '5'7 t s,"3';.l d -s:>;" , City <;,?pL..,) Phone "7)..JtJ -69~ OIlNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ---------------\-l-~~---~-----------~ DATE: ~ M:t RECEIPT 11: ' _ _ \\:\l RECEIVED BY: \~'L."\\(l - ,B. Services or Feeders Installation, Alterations or Relocation: $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 200 amps' 'or 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 .' Nev, Alteration or Extension Per Panel $ 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 $ 36,00 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Branch Circuits One Circuit Each Additional Circuit or vith Service or Feeder Permit llt?Oll , ?. - - I/.? n.~ 1V{,q)J