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HomeMy WebLinkAboutPermit Electrical 1997-9-22 r) . .. SPRINGFIELD zoning ondJdr-'-,~''''' ~ .J"'ll":~:':: ,........' . f- , ~.., Oas not rnnulr. . ~ . . approval. -'1 &jJl.<;'. ' tit 225 FIFTD STREET Zoni"9_Ldj/ ELECTRICAL PERMIT~PPLICATIOO SPRINGFIELD, OREGON 97/,77 0.'.9-=2.1.:Z . (\\A\ INSPECTION REQUEST: 726-3769'- Ci ty Job Number - \ ~ OFFICE: 726-3759 Authorized Slgnalu 0 n Yl.-1 -1:--00MPL-ETE-FEE- SCUEDULE BELOY JOB DESCRIPTION .' ~")etQw<)P!2 f'l-Int:;"'"- Permits are non-transferable and expire if work is not started 'vi thin 180 days of issuance or if,work is suspen~ed for 180 days. 2..- CONTRACTOR INSTALLATION ONLY ~~O~ n. -t '!rs> ~ Electrical Contractor I=-V,o/V"i"'VI'.7~;:~t:... 'u~ 'Q~~ Address_/~n ').-??I'>'/II,(lo.,",. '!~ ~~. ~~ ~Ol 200 amps or less ---L- $ 50.00 :500() 11>0 .'tJ '(.,o~ ~ 201 amps to 400 amps $ 60.00 :<'(,I~~-d ~ t'(<<,:40l amps to 600 amps $100.00 ':0 ~.(, ~ 1lilll amps to 1000 amps $130.00 J.a..q.:l S~. O'-t ~"O~ 1000 amps/volts $300.00 -va ~~ c(~ec t Only ,$ 40.00 Expiration Date //J J I/q t? ~ l2 ~ / . c.O~~r~ Services or Feeders Constr Contr. Number ..;1c>-oZ~{) C. ~t~at9;on, Alteration or Relocation 0'9 OJ' 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B"; a~_ove 1. LOCATION OF INSTALLATION J..j /q P/":>D_<'OA'+ LEGAL \.1\~~~A\ \L\ttlL Ci ty I::~(UPNP Phone Supervisor License Number Expiration Date /y/c; 7 Signature of Supervising Electrician )~,~~~ Owners Name.s..2)o""NNt" S' <..4;UJl/t)fi( {.) Address .c/~{C,\ :J3/1NNeR ST. Ci tY_I= /f>j~NP Phone (17 (Jq- /4''97' 0\INIb{ INSTALLATION The installation is being made on property I own vhich is not intended for sale, lease or rent. . Ovners Sienaturc: ~~T~~-------------~~~l'C~-----~- RECEII'T II: ~ , . 1\ .1.!'V"'- HECEIVED BY: rl'\\\'\l'ro--J - n.: "\ \ ) A. New Residential-Single or Multi-Family per dwelling unit. Service Included: It ems Cos t Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf' d Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: D. Branch Circuits New, Alteration or Extension Per Panel E. One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit --1-- $ 2.00 ~ not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. $ $ $ $ e::.? ,00 2..~O --' . /11, 51, .IUi 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 51. State Surcharge 31. Administrative Fee TOTAL