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HomeMy WebLinkAboutPermit Electrical 1997-12-29 . , (./);:,(;;:;...! - -- .... ......,....... ~..'-""""" ,.....; DEVELOP~N S~V/CES DEPARTMENT I 225 F/FTH STREET h Zoning_ _ eJnl2uBiS pq'"""'I SPR/NGFIELD, OR 97477 D'l~ -'?VI / (541) 726.3753 r2t5'n~;~aO.s ET {\, ('11 E'i.EtnuCAL PERMIT APPLICA{:&W541) 726.3689 SPRINGFIELD, OREGi>lfJ~ nO , OUiUCZ (\ 1'\ ":l.l INSPECTION REQUEST: 726-3769 'IE^&!,~yJob Number "\fI \ k) JJ OFFICE: 726-3759 C:"',.('; o;':oc~: ,,;roboJ IOU seop pUB 'Buruoz Ct!!!.\ogtlpF.",: ,> c\:\) P:3~~lwqno ca3~cfoJ€O}'l1l'ta~i"1~'-l.FEE SCHEDULE BELOV 1. LOCATION O,E.., INSTALLAttO~,' f\ $2:/16 . ~ ~ \ J(' ~COL."'" A. New Residential-Single or Multi-Family per dwelling unit. Service Included: t1t~ DESqwrrIlWf'l ;\/"\'2_ \ ,~~'\'::J U u.. )J ~O~DESCRIPTION '1\\0 1000 sq.ft. or less <<6'5 I YO h Q\ ~.0'\...o ...:J 0 Each addi tional 500 \ ' \ ~ sq. ft or portion Per' s are non-transferable and expireA D thereof l 0 if work is not started within 180 day~~~ ~~ach Manuf'd Home or of issuance or if work is suspende~~ ~ ~odular Dwelling 180 days. ~ ~_ ~ ~ .'Service or Feeder '~~ ~ 2. CO~CTOR INSTALLATION ONLY ~ ~ <ID ~rvices or Feeders ~eJh F,.,fv,.v l:#letflliel J:~.t- <:) ~~tallation, Alterations Electrical Contractor .0 ~ ~ ~location: ~ ~ ~~ Address I ~O /tJwe. ~ hU1f1.l A IJ.f!...,- . 'fb -9'&2 a~~ or less , I . ~!!~~o 400 amps City J;:; 1/4 ~ Phone 100/. q 7Ct 7"} S'~o 600 amps , 60 ~ 1000 amps Supervisor License Number :''17'5'"" .5 Over~Ooo.. ~s/volts Recon~c rt:9.~'ty Expiration Date JIJ-J-o,,,,, Cost Sum $ 85.00 E6 $ 15.00 Q!l $ 40.00 '.. Items $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Contr. Number '11" j,.1.)' $ 40.00 ~ $ 55.00 $ 80.00 see "B" above 200 amps or less \ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts ) ~?,..-5' -~ti Expiration Date Si~~~~;;e::~ Electrician o;ne~s'Name \1Ju.\ 0 ,~,C)\~ D. Addres~ ~ f\'\iS , Ci tv DctQ1\Q ~ Phone 1,44 -2.lQ\€> OlINER ~STALLATION Branch Circuits New, Alteration or Extension Per Panel $ 35.00 One Circui t Each Additional Circuit or with Service or Feeder Permit $ 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 r>9/~ ~ 5% State Surcharge . I (),'/,c., 3% Administrative Fee (n 4;s TOTAL .:l ~ ,.!J.O The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: O...-?-'1- 4 -, RECEIPT 11: 2~"3S"2., RECEIVED BY: 4<uf