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HomeMy WebLinkAboutPermit Electrical 1997-10-16 , - .'. ~ "... .cl'. ~. ;~1 - ,'I ~I zoning. and does no\ requlIv ....J.......,..... .....- - , approval. \ J\ . ~t. \f Zoning .. "- ~O,?-'f.. Dotal-\).- I V -'17 ~ ~y.'v ~o~ - 225 FIFTH STREET Authorized Signature h ('A '';''9.'" ~ It\,P ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974Tk\('~' ~~\>.:~,~\'O \l'i;: "-0 ~O'?- . / INSPECTION REQUEST: ~GllV6~~\\ '2) 'i)"''?- \" ~\OO~'v City Job Number Cflo l/p g l.t> OFFICE: 726-3759 5\l'i;: O~~ ~~~' ~y.~ v..O~te O'?- \'0 3. COMPLETE FEE SCHEDULE BELOII 1., LOCATION qF IN~ALLAi ~~C",O ",,?-\OO. \ \ \ \ ~~ ~ .t'''~ \l . A. New Residential-Single or n~-.II\l)\jo,?l)O;2. Multi-Family per dwelling unit. LEGAL DESCRII(TI.Qr:l - - ~"'1;'..-I Service Included: O:::Y\te-V\V\~oJ ~eJ( i:1ro..~e..-. Items Cost Sum JOB DESCRIPT;rON1 1000 sq. f t. or less $ 85.00 Act:~s.~ c..orrf-ro Each addi tional 500 sq. ft or portion Permits are non-transferable and expire thereof $ 15,00 if work is not started within 180 days Each Manuf'd Home. or of issuance or if work is suspended for Modular 'Dwelling 180 days. Service or Feeder $ 4.0.00 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor Mess COT\-tfcl th\td Address Ii ~ ) I~ 1 W\ "'\r\ sJ..-., G City c;;,~ Phone 74 ( - ;:2..LJ.l13 l.g R.E'l rD -'Cfcr qCqq () 5 - q~ Supervisor License Number Expiration Date Constr Contr. Number Expira t ion Da te Signature of supervis~ Electrician ~~~o _ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: I b -1(" -q7 RECEIPT #: ::J./I (J;O RECEIVED BY: k.uJ 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 $ 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 liB" above not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL \le.\I\ $~\ D. Branch Circuits Owners Name . IbL\'D '\ ~\ ~ 'f\ New, Alteration or Extension Per Panel Address One Circuit $ 35.00 Ci ty t.~C"V\ <2 PhoneJ,.RR-14.0Q Each Additional Circuit or with Service OIlNER INSTALLATION or Feeder Permit $ 2.00 $ 40.00 $ 40.00 $ 20.00 $ 36.00 ;3b=<- -'- .}j.p. - f,yP ,b't.. 7,3,~