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HomeMy WebLinkAboutPermit Electrical 1998-12-29 ...... " i';:';,owingPfo.lect 8UbmItt ' _,:ning. and does not _ ,ad ha$th~folk)w'ng ,'"1prOVaJ~on~ s~ land use' 225 FIFTH STREET.",oP. \ ~L. . \.J. ELECTRICAL PERMIT APPLICATION SPRINGFIELD,. OREGON 97477 ". \ ... '.~ '.' 'jJ a<:lI' r7,k- INSPECTION REQUEST: 726Atafi'~ltf;ldSlQnalwe Lt\ Ci ty Job Number (If'.l J OFFICE: 726-3759 ' '."<,,,--.. ~ 3. COMPLETE FEE SCHEDULE BELO~ A. New Residential-Single or Multi~Family per dwelling unit. LEGAL DESCRIPTJNe>TICE.: ' 'Service Included: / 7 () '3 2 C./ '3 TiiI3l!i&r~(T~iiALLEXPtRE IFTHE WORK, I terns Cos t JOS F~RIPTIO~~:~O~~I:~_D l~~D:R,~~IS PE~MIT It~~~ ~dd~~io~~ll~~~ / $ 85.00 vVIVIIVh:I~vf..::Er vnl" f\cf\II/DONED FORsq. f t or portion Permi ts are non-tr<AWtlf~~\?)A€f raLnRloopire thereof if work is not started within 180 days Each Manuf'd Home, or of issuance 01." if work is suspended for A~tR5NRYrelliI}g. ' 180 days. ' fo,,~wrrY,tEfsea~r ~~~d~~ reqUIres you to 40.00 , Notificatio op e y the Oregon Utility 2. CONTRACTOR INSTALLATION ONL,Y., Bin~. ~5,8,n~~~r.p~, $lIes are set forth , /":.",, - / .L Go9&:~ aj:l'i~i<6~1,~~~~t>Mib952.001-' Electrical Contractor Yofol1e,/' ~/'~Ti<t''-'coli: M~~e~p~ffii/;lcoPlesoftherUlesby , ,a 109 t e center. (Note: the te'lephone Address ,P. 0., OJ)( J S 5 : nu.mteJerJ61p!t1.~9r8gon;UtilitY Notifi~atio~ 50.00 , / . " ...' 201 <afil\lwr 1S:>1.{jlOO-~~2311A\ _ $' 60.00 Ci ty Cr -.5 w~ /1 Phone 9tt-2-2 If B 401 amps to 600 amps ~ $100.00 601 amps t~ 1000 amps $130.00 Supervisor License Number ~tfl-~ Over 1000 amps/volts $300.00 ~ J Reconnect Only $ 40.00 Expiration Date /0// J '7 Cj 1. LOCATION OF INSTAL~TJON 1f/~'~ y- Constr Contr. Number 2 ti-,3 C Expiration Date .,L., ('-:' / b~ 0/..7 ~/ f'7 " r / . 17 ' Signature of Supervising Electrician pz atJ~ Owners Name C4::1t. Lot /(O,NDtA Address 7 '1: 7 .f M JJ.?JfA tJiJO j ) City bJ;/I.j'tJNIJ Phone '5'f2~ Y<il, OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~-------jli.i17~------------------- RECEIPT #: 0 ~;;'5 1 '~ II RECEIVED BY: dI WtW/ Sum ~s/ J '15-- $ 15.00 C. Temporary Services or Feeders Installation, ,Alteration or Reloc~tion 200 amps"or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 vol ts see "B" above' D. Branch Circuits .' 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. / 7.1') ~ SUBTOTAL OF ABOVE >v 5% State Surcharge G.~ 3% Administrative Fee i.qD TOTAL /~(). &(0