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HomeMy WebLinkAboutPermit Electrical 1998-7-15 (2) , DEVELOPMENT SERVICES DEPARTM!N'fO~eJ.\ ..If ZonlnP (l.. SPRINGFIELD, OR 97477 'C'yOf{, (541) 726-3753 NOTle~;J-I, (\ yY\ FAX (541) 726-3689 225 FIFTH STREET THIS P~~S 8lgn8IUft'. "'...,"uu"...... PERMIT APPLICATION8( SPRINGFIELD, OREGON 97477' HALL EXPIRE IFTHE WORK (] cV1-\ / I INSPECTION REQUEST: 72~MR/ZED UNDER THIS PERMIT IS R,bV Job Number ~\ 7\ ( J-r OFFICE: 726-3759 COMMENCED OR IS ABA/jDOruw,~~" FEE SCHEDULE BELOV 1. LOCATION OF INSTALLA'lffOrea D~'I PERIOD q15 :=t~ . . A. LEGAL DESCRIPTION II () ~ nl .0, \ 0#\ In) JOB DESCRIPTION . ~{\t'C\~n \:1.. (llttAl.\mJ~rLn~.Q.,.J 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 B. Electrical Contractor.0. tS ~ ~~6i:tU(\ ';~. Address P. f). ~~. /LJ- 81- CitY~PIUm.d~ Phone.1..41-:J.1,3b Supervisor LIcense Number ---1.I::....8..h~ Expiration Date IO-I-q'g Constr Contr. Number .12AQ Expiration Date .~ -)-q'l? ~~~ ElectriCian. Owners Name~l~ PmJ.!\) Qnllrt.lIn\\L D. Address~ll\-l~ Ci ty~m.(\~ a ~ ~Phone OVNER IN2TALLATION The installation is being made on property I own which is not intended for sale, lease or rent. 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 $ 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 $ 50.00 $ 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 volts $ 40.00 $ 55.00 $ 80.00 see liB" above Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 :35'.00 $ 2.00 '-.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 Owners Signature: -------------------0/------------------ DATE: 7 - L~- q)'v RECEIPT lt~)~() F/Y . RECEIVED BY: h. tY1W k~/J_= 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ~'1. 00 I. ~p 1.11 _:?q. qlo