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HomeMy WebLinkAboutPermit Electrical 1997-12-30 . SPR.FIELD . The following projE'ct as f;:ubfT";e-..l h""!: '. laning, and dOGO not requiro ':,J .":I;;C~. ').' approval. ZOning_~V Dala! I r30r 47 225 FIFTH STREET r- .. SPRINGFIELD, OREGOWl974'7qJ Signature n fY\ INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION (D\ 7)-, 1/l \II~ TeA 1b,C, <=:,?!':O. . A. 5:;{5 fJtJL/I4-VA-' LEGAL -rlESCRIpttON ' I.d:2.I A. \ (!fY..-- ---rAe?5: prco W fee- JOB DESCRIPTION ;:')~t'fD L0/E'-INt'n Permits are non-transferable aDd expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ELECTRICAL PERKIT APPLICATION City Job Number CJ7 J 545 3. COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: ,', 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder It ems Cos t Sum $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders Installation, Alterations Electrical Contractor 1J..f.~ 5fei?ei'..J'DTli2e or Relocation: Address I07<f rlAr/gel 21/r~wfH1 , ' CityCGi bc::Welt-Phone /7,Lfr::::- 3Q'Y) Supervisor License Number Expiration Date Constr Contro Number 0 D75lo Be; BIz'?/ tl/J Expiration Date Signature of ~fperviSing Electrician 9JfrJh^ .x\ A t L/} Owners Name L A(f..<Z-'-/ Address LOT Z:5 Ci ty J ~I Nr. t2~ WP??~D t211/~ reA 1(!5 Phone '-1716- 3r rJ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ------7-----------~------------------ DATE: Id- -...3D--1 / RECEIPT II:. U;. x:: '.<;'';>''1 RECEIVED BY:,{) . IntJ (1'11 C1 rI f) 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 S 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circui ts $ 40.00 $'55.00 $ 80.00 see "B" above .' New, 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 with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) 1 $ 40.00 $ 40.00 $ 20.00 $ 36.00 ?;-ri . rP i. (JV . VlO d-I. 117 0 d(J. ~-O