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HomeMy WebLinkAboutPermit Electrical 1997-1-14 .'~.(,;Ji <.: -J ......j. 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 A",;0';",0 Sl,""-"" I\J f\l\i ty Job Number q f lD3 r 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION /91../t./ I c::3r LEGAb DEsyIU,P'fION / I O~~ -Sfj) I 'l.. -6230 0 JOB DESCRIPTION Sv? ..l ); t 0 ('At If, /1~ 'if Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. A. New Residential-Single or Multi-Family per dwellin,g uni t. Service Included: Sum Items Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor~G.~G:. ;::;~.ic-Svc- or Relocation: Address -L?I"'> J .{I').0/2 A? C i t y 1::2.AG.. G:A.L/7-- Phone CJ..I4-,~~CDI Supervisor License Number /()9~ Expiration Datel:a,/~1 ~~/9? Constr Contr. Number 9C)~~ Expiration Date ..3/'7'7 II . Signature of Supervising Electrician If!!~ ~ Owners Name ~ R.A /I ~ Address SA-tUL City Phone7Y7-5/7'7 OVNER INSTALLATION The installatioh is beirig made on property I own which is not intended for sale, lease or rent. Owners Signature: :~~:-:JP~qZJ-~-~-------~ RECEIVED BY: - '7- il'/7 ,fA/\.-- 200 amps or less I 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 $ 40.00 $ 50. 00 ;jD-- $ 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 D. Branch Circuits .. $ 40.00 $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 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 5. SUBTOTAL OF ABOVE 5% State Surcharge ~ ' ~% 1\0- MLY\.ls T'f~:tlK! ~-'1,~ 'T" -tol OL). aJ 2.=0 J I h-o .;2~l. oD