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HomeMy WebLinkAboutPermit Electrical 1996-3-29 (2) i:" . . The tollowin9 prO\e~ require spec"iC Ian u lQoing, and does n approvat r<. 225 FIITH STREET Zonifl9_ L D . .' ELECTRICAL PERMIT APPLItMTION SPRINGFIELD, OREGON 97477 . "3/.:Yf jq ~ (\ I 10 INSPECTION REQUEST: 726-37i'l~a I '~ CiJY In&- Number ~ \0 1\ OFFICE: 726-3759 Authortzed SignatUre 3. OHPLETE PEE SCHEDULE BELOV N. 1. LO~~ ~LA --1..~ON {\ -l9B \QESCRIl"m>l! - ~- ~... IX' ~~ ~l\t\~~, ~ &r" Permits are non-transferable an 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~ ~r~V\ Address SQC1"TG:. 1::x:1y Wne___ City t.l.)q&W\~ Phone (08(,,-0':71':>-5 ~ Supervisor License Number 15" e S /o/t/q!j 5#31 Cf/50/Qe Expiration Date Constr Contr. Number Expiration Date Signatu~~~~ician O,.m N~\\J:~all\ ~l1illDu1 AddreLf'f \~\~ Ci ty Phone "144. ~~ . o ~STALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~----------~:~~11?----~----- RECEIPT 11: \J :'N': {:l1'1<'6'J RECEIVED BY: ~_" , A. New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder -l..- 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 uni t. Cost Sum \ $ 85.00 ~ SO $ 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 or less 201 amps to 400 amps Over 401 to 600 amps . Over 600 amps or 1000 vol ts Branch Circuits $ 40.00 $55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 S 20.00 S 36.C() \\~. C:;."b2 ~~\