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HomeMy WebLinkAboutPermit Electrical 1998-5-29 -..J. ," . . ' bmltted haS the: following Thefollowil19 P~~lec\ ~~lre specifiC: land usa " zc"i(l~J, Eind d()~s 1)0 -.." apr.-rom!. i , ' ~ ' ; ZOliil1~t :--.--, 225 FIFTH STREET .fA VI SPRINGFIELD, OREGOrD~~~' 0 INSPECTION REQUEST:~ '(\fV\ OFFI~: 726-3759 _ ,', . ELECTRICAL PERMIT APPLICATION City Job NWJJ.ber9__5{()(~ . , COMPLETE FEE SCHEDULE BELOV 3. 1. LOCAUON OF INSTALLATION ~33 "WI! '51. /" . ). A. .. " 'l5oJlJ m{S TtWe.N II \f1~~~~~ONOOlp{)4- ' ' ", , New Residential-Single or . Multi-Family per dwelling unit. Service Included: Sum Cost Items ,$ 85.00 1000 sq.ft~ or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular,'Dvelling' Service or Feeder I0.JOB DESCRIPTION, " . +' &LIJ~ HpI11//iIclllr. ttg5~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. $ 15.00 $ 40.00: B. Seivices or Feeders L R B bh Inc Installation; Alterations Electrical Contractor . . ra am, . ox~~location: , ,\~~' ~ ' Addr,ess 68 West IIQII Street ~ \~~p ~~~mps or less . . ~~y~. tf;.~~~2'O ~mps to 400 amps City Sprlngfle1d Ph~~~47-~~~ ~~\~~ amps to. 600 amps , , ~O\ \- ~~ "',: f\)tf;.'(\' ~\>o~ 01 amps to 1000 amps Supervisor License NU~O~~ ~~~+~~~ ,Co ~'?>~ Overt 1000 amps/volts ~ -.;...OY-\ ~ S) 0'<' ,- :0 Recoimec t Only Expiration Date 10/0l/b..~ ~Cf(J ~c.~O . . , ~~\~~ ~~ \ - C. Temporary Services or Feeders Constr Contr., Number 086 ~~\~~ . Inst~llation, Al~er~ti~~ or R~location Expiration Date 12/18/99 200 amps"or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over ~OO amps or 1000 volts see "B" above 2. CONTRACTOR INSTALLATION ONLY $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Signature of Supervising 'Electrician ~~A/L /" ,.", Owners Name:;/) n nu .Je;;v/(/1I/5 Address P6, 8.0J<... ~S;A : ' City ~~. q71f77Pho~e 741 :../Q53 OVNER IN51ALLATION ' }. D. Branch Circuits ,. N~v~ Alteration or Extension Per Panel $ 35.00 35,0 (J One Circuit Each Addi tional Circuit orvith Service or Feeder Permit $ 2.00 E., Miscellaneous (~er~ice/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm The installation is being made on property I own which is not intended for sale, leaseot rent'. Ovner~~~gnature: $40.00 $ J.O.OO $ 20.00 $ 36.00 ~, I '. ,.1 35, ()O Ii 15 I, ()S -3:).,~() SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ~~~::~:~~~---11\~~~ CJ ) ~ _ .