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HomeMy WebLinkAboutPermit Electrical 1997-7-17 ,. . AUTHORIZED SHALL EXPIRE IF ", eOMME UNDER THIS THE WORk ' 225 FIFTH STREET' ANY 1 NeED OR IS ABA PERMIT IS NOT ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974~fjDAYP{: "NDONEDI=i ." " () 7/0 e- J INSPECTION REQUEST: 726-316.9fOTfollQq.project as submQlill hasth(hct:lyw~Db Number '-'I Q OFFICE: 726-3759 zoning, gnd does not require sp0cific land use vJl~t approvaL.,). COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION Zoning \rl '( 1'34 ^ H St. ......, . n -c,'1 A. New Residential-Single or '-'<AIr , Mul t i -Family per dwelling uni t. LEGAL DESCRIPTION AuthorizAd ~~re f\ fV)Service Incluged: rE"S'ldeJo1+i aJ 170~'2.,5:;;:Z~ D\::fdUU Items Cost , - JOB DESCRIPTION . d06 A Se.r. 'Dyuer Q.i r-~ui t ~ 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. Elec t ri cal Con t rac t or ~ase ~ tpor-di 07\... Address B'qc(7Co J)a..,u ~ u Ci tyE:Uq~e Phone ~-09().5 0./ Supervisor License Number) Sfo 8 S Expiration Date /()/f/9~ Constr Contr. Number Btj.-tJ..31 Expiration Date cr/SO/9A Signatu~PClerv/~ Electrician i ./~d~~ \,/(...00" - D. Owners Name ~LLr~, uJCj~ Address 577q SE. Monr6e.. Ci ty M ~ }WL1V k i6 m,phone 5()3-~G9'-04()lf OVNER INSTALLATION The installation is being made on E. property lawn which is not intended for sale, lease or rent. Owners Signature: ~~~~~--~~~r-~--2t~------------------ RECEIPT #: ;;~ 7tb~~ '. RECEIVED BY: J . - 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 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 / Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 5cJ,oo $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Ser~ices 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 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 / 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 c;;;z. 0() not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 Sd,OD ~ ,{,D ) 15~ .!5 ~ . Li.--