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HomeMy WebLinkAboutPermit Electrical 1996-6-14 (2) . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPEctION REQUEST: 726:"'3769 OFFICE: 726-3759 1. L~qA.fION OF INSTALLA'{IpN"" , ' ~ \ 0 \ \='0\& ~'Y(\ l ~') LEGAL DESqg.PAION \~020~~A (J~C)cy) AO\!-- DESCR:P"I;.ION ~......Q 0 N(1 0J\CL ~~\\ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. I 2. CONTRACl'OR INSTALLATION ONLY, , Electrical Contractor JB Electric Address 1786 Ba 1 boa Street Ci ty Eaoene Phone 687-5770 Supervisor License Number 38725 Expiration Date 'n_'_~ .. Constr Contr. Number 84200~ Expiration Date 6-22-c1i Sign~t~o~SUp~~g Electrician \h-{J. [/ rr ./LA~ Owners tfme\ ~11 ,rr"c\O II6'L- Address,"\HCJ~ ffi..~ City ~i\lJl\(\q~ Phone~.<?91d1 OIINER INSTALLATION The. installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE:_ .. ~ ./'t.'''7t::" _ RECEIr 1 ,: '2/"7' $' ~ RECEIVED BY: ~ j - --:~ ELECTRICAL PERMIT APPLICATION Ci ty Job Number q LeOI al olo 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq,ft. or less \ $ 85.00 -13.S Each additional 500 sq, ft or portion fJ. 30 thereof $ 15.00 Each Manuf'd Home or Modular D\lelling Service or Feeder $ 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 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 "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or \lith Service or Feeder Permit $ 35.00 $ 2,00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 1/5".00 'S.7r .... 9'f I J-f, ~o SUBTOTAL OF ABOVE 5% State Surcharge TO....!. lq;a ~/401.;