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HomeMy WebLinkAboutPermit Electrical 1997-7-6 . lO1Z- ~ Io/q 1/ r 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LQCATION OE-I~S~ALLAT~ON (;{ 7 <;i( L.4,,1II ltW<</ . . J LEG~ DESCRIPTION 17f}'5 jU7 t (') I 60'() JO~ DESCRIP!IO~\ . II. ,~~. O(/1VYlt\ I~TJv,--_ Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY , .B. Electrical Contractor AoT 5eWY'l~ 5y.5 Address l'5D I '001"1 ~t-. . . .....,.- , 'City hC\f/v'J2.-Phone 5~/(-3'12 - 1313 o ' .- Supervisor License Number q L( '11 LE Expiration Date I( (I /11 '. Constr Contr. Number 5 q 1t.-/L/ Expiration Date l--/-dq-qa Signature of Sup,ervising Electrician "~..' Ovners Name V0vJildldt 'Sk;r1t\/ Address q 7<6 C>~\hl6011) ex-- City ~~.ft(,Aol Phone 7)(" -b2fiS OYNER iNstALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: " . . " DATE~--~~.=-h-='f~~------ RECEIPT. II:, ;<. 'f "', O. RECEIVED BY: ll~ ~ ' . .,1..... "..\ : I ,., ELECTRICAL FERHIT.APPLICATION City Job Number C{70:223 COMPLETE FEE SCHEDULE BELOY 3. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: A. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dvelling Service or Feeder 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' Reconn,ec t Only. C, Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 D. B'ranch Circui ts $ 40.00 $ 55.00 $ 80.00 see IIB'l above " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit E. $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5: SUBTOTAL OF ABOVE ,5% State Surcharge, 3% Administrative Fee TOTAL.....,. $ $ )c. $ $ 2V.OO '1...,,0-0 , " !a () " '1\ _ (rl n 40.00 40.00 20.00 36.00 .2n. Ii() '. ~ . "