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HomeMy WebLinkAboutPermit Electrical 1997-9-29 The following project &S sub'. ' Zoning, and does not f&.v1 'I mittcd, ~s tho folio\'Jin;; approval. -'1U re SPaclilC lend U,,:l Zoning-.f1J4r2/ Date:?! /)q /11 97477 I I . 7 2~~3Gfg~ Signature A-1 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ELECTRICAL PERMIT APPLICATION Ci ty Job Number C\f\ \~\( , 3. COMPLETE FEE SCHEDULE BELO~ ~\,\~+04'tr1T~1t'~ LEGAL DESCRIPTION ~ \')s ()~ ()S 'rl..~. 0 ~(ti) 1. A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less ~ Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder (10 Jq!t DESCRIPTION \lJ.~\<l)O \\s>No Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contract~~\x\~~ ~ Address ~ \() LA 1\ \ ~ !J'l {t Q; '. City &Dw~ . Phone ~fj .\0JfL superviso~ License Number ~\~ Expiration Date \ r) . \ C\~ Cons t r Con t r. Number \ 3\ Ld2..- Expiration Date lo.lD. C\1 J $ 85.00 $ 15.00 $ 40.00 B. 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 ~r Relocation 200 ampg~r 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 Sirt::l ~/S:::ician Owners Name~\ 9\o\\c\Nl., Address~~ 0ML\J\ DV\-<sr Ci tY<.~ fI ui.U\ tt6~fn e ~ DS. S~"3 . O\lNER INSTALLATION 4: 011 D. Branch Circuits ,. New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 The installation is being made on property lawn which is not intended for sale, lease or rent. 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 [11') (J) 5% State Surcharge ~ .':0 3% Administrative Fee ":>.\0" TOTAL I <6...", .l()() . Owners Signature: -------------------~-I----------~------ DATE: q /l ]' f.j) RECEIPT #: H' f ~ " 1 7 RECEIVED BY: ~.f'/ ~.