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HomeMy WebLinkAboutPermit Electrical 1998-4-10 2'O'":l apprVv111. Zoning \ At Oat94-10 ~q ~ 225 FIITH STREET (\ SPRINGFIELD, OREGON 97t'f7orized SIgnature fYl INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. 5Pf4~ rRidi~tlW$dj)-. loLEGAL DESQUjPTION _ II O.9ili-I., ()0.LS . J B DESC P1'Jl9N m f\ n" ~ 'J 1~"'j '-)\~ ~~ \f . Permits are on-transferabl~(lnd expire' if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. ELECTRICAL PERMIT APPLICATION City Job Number OSD300 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Expiration Date Signat~u~Of Supervising Electrician . 7/'~ t - Ovners Name (J(\ ~ r m Ll Q L -6 Address ~['[) I t'{'\\ ~Q ~\-.~ L\(") City~tOQ Phone P.Qro.?-^~ , OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: -------------1-----(1,------------------ DATE: "\.\'V "9.. '\ 1\..-1 r. l RECEIPT II: _ .. ll, 0.. v... Ii)1 RECEIVED 'BY: U\\. \'i5l_ Items 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 'Dvelling A ~() Service or Feeaer $ 40.00 D. Branch Circuits 2. CONTRACTOR INSTALLATION ONLY B. Serv.ices or Feeders ~.~ ~; ~ Installation, Alterations Electrical Contractor ~ ~~~ or Relocation: /. cL f'/.. / P -1~ "\Si..o ~ Address (() T Z 7~ dd 0.1 ~_. ~ .' 200. amps or less ~A., %-4--..5:~~)' 201 . amps to 400 amps Ci ty C~ Phone 7~'f)-~ /~)(.' ~ ~ 401 amps to 600 amps V"'t?~,:(..<:o ~ '1<2~1 amps to 1000 amps Supervisor License Number 1'f 5 - "f, Q e>~,~r 1000 amps/vol ts ( ( t7 ;o~ :fS>{s> '9~e~nect Only Expiration Date Z '10 ~ -1& '%> ~t<- // V<?c.'11J:e~f~y Services or Feeders Constr Contr. Number t?3>J~i7 ~t5 ~~,~r~ion, Alteration or Relocation 7~ ~ ~ Iz( 9g 200<?~{~.D--;-9lless $ 40.00 201 a~~~ 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps 01- 1000 vol ts see "B" above $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 .' Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 ~ no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~.~, . _F\~~\~