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HomeMy WebLinkAboutPermit Electrical 1995-7-21 r/ I e- SPRINGFIELD . . The fol/owing project laning, and does not ~:qSUbmit1ed h.s the fol/ approVal. Ulre sPecific land Use 225 FIITH STREET ID ELECTRICAL PERKIT SPRINGFIELD, OREGON 97477 Zoning V/!-, INSPECTION REQUEST: 726D3f/J6W-7 i-~{ -.0 OFFICE: 726-3759 A h ' ut or/Zed Signature~ COMPLETE FEE SCHEDULE BE LOll 1. LOCATION OF INSTALLATION i2lS Sey,~G/ --=:. } A. I; O~ D~~PTIOi't Od-.C1 tJD JOB DESCRIPTION IfJl..AJ1.. ~~ k <>- ~ r,:,. . ~ "--' , Permits are non-transferable and expire if ~ork is not started '~ithin 180 days of issuance or if ~ork is suspenaed for 180 days. 2. CONTRACTOR INSTALLATION ONLY OREGON maR!( SERViCE Electrical Contractor Addl'ess Po /?'r>><-~~""'-") Ci ty b 10.------"- Phone~t/:?, I foCX'1 Supervisor License Number ~'1~ ~'\ Expiration Date . q -q", Constr Contr. Number ~..j(nC> Expira tion Date /0 - qS Signatfre of Supervising Electrician 7~Mt,~ '- O~ners Name.... furl"1 ('''' U I .U,- Address .-<:'G IN\.o Ci ty ~ PhoneJ<t1 -10-;;::'(...., OllNER INSTALLATION The installation is being made on property I o~n ~hich is not intended for sale, lease or rent. ~ers Signature: ----------------,rr.,PT------------------ DATE:7-2 1-..1~. . RECEIP'f 11: 11 I'll ~/ n RE~EI~D BY: f1...J u.-.- . (I ~ Ci ty Job Number ~sCt~>~ Ne~ Residential-Single or Multi-Family per d~elling Service Included: uni t. It ems Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular D~elling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only S 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" a~ D. Branch Circuits Ne~, Alteration or Extension Per Panel One Ci rcui t I Each Additional Circuit or ~ith Service or Feeder Permit S 35.00 ~'S ~ $ 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 3% Administrative Fee TOTAL ~~-- \'1;> \ o~ ."\) '$'0 /