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HomeMy WebLinkAboutPermit Electrical 1995-10-6 . . SJaIII. ~r..!...La 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQuEsT: 726-3769 OFFICE: 726-3759 1. LO~?!, o~fW:<'f':\~ 0 (V ~ D~.S~IO~.,.....,....r\ \.t'\"'"A.\ \~ 'M.l LA..../ JOB DESCRIPTION CA.y/...,,,... /bMF &AlLf6G 71't j;l~AA:-T/,' , Permits are non-transferable and expire if work is not started 'within 180 days of issuance or if,work is suspen~ed for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor_~ric:..5on. EI(!cfr'f.,kc.. Address r.O, f3o'X ,1,7 Ci ty Jundion [,;-Iv Phone I Supervisor License Number qq:;>-S'if4.8 3't c21 S 1()-\~(r1 Co~s t.r Con t r. Number q l)q 0 ~ Hr'lq Expiration Date Expiration Date Signature of Supervising Electrician ~. ,- ~ :::>;;Z ~~~;. --,c.~ ~ . - D, Owners Name ~~~j;l~ ~~ Address 3'5''J!.., StYI/,./ I c.,/ ~ ) Ci ty Phone 12C,:. - eu26 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -----------------~-~~-~------- DATE: /CJ/~./ 5'~ ' RECEIPT II: . _, _ /'01' 2- 2..:5"' RECEIVED BY: {~ ~~. 3. ELEcrRICAL PERMIT APPUCATION Ci ty Job Number q ~ ~9D COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cost 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 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 ~C'C' $ 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 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 -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 5'.a ,o<::J z. '7''' =l.-?f - ~~,,~