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HomeMy WebLinkAboutPermit Electrical 1997-10-2 ;;. , r . ,. DEVEL~PMENT S1fijIWml'}9&}ij~,' F#.;A~~ubi'~~;~ ",~.:,;;,,"ili!"";~ :~;.n,.i\ i" " P~~i'f{~-a~ct"'mr~~6fvf~Ar~ ~iJ~w, V ~. ~ ,.--- approval. J ./ Zoninq . V (Y':" Y O~~ j. n a, y..~~ \\ 225 FIFTH STREEf'le\te /0..... ~'-w \~ ~ f.:> ~O SPRINGFIELD, 0~~PNri9,;1l4?7.~nature fJ *~tf:, ..(t.~~.:~ $' INSPECTION REQUEST: ne~]69 ~tr\.\"\" "y..f.:> ~tf:,\)~ OFFICE: 726-3759 O*\~ ~"s ~~ ~\)a ~ ~~tf:,~ ~:v '0~\j ~ tr~~ 3. COMPLETE FEE SCHEDULE BELOY 1. LOCATION Of IN~T~'rtATo~ O~ '\ 8't)() BELT J/Il/c ~t)~~ I'~\ctf:,\) ~~O\). A. New Residential-Single or ~~y tr~ '("" Mul ti-Family per dwelling uni t. LEGAL DESCRIPTIO~ I c,o ~ \'C~ \) Servi ce Included: /70 ~(~606~.,OQ\' Items Cost JOB DESCRIPTION .:z:;e,(!t111 tiivJ Ct.Vf/TI'tO'LCk> Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for IBOdays .------ -.q 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor C~7)#A J.~/f/L>SCt4,tJc.rM:. Address /4375' Sed PrlT/-iCI/1 AilE. City 4//$ID~o Phone 6;(~- 31// .I..; ~ k CJ ~ I E!!.Jyr'(J~ I..JS ~ n Supervisor License Number Expiration Date Constr Contr. Number 5lr1t3 Expiration Date ~- C;p Signature of Supervising Electrician Q~trJ~ :J D. Owners Name MQ.~ZJ/;: l11tLr/c.e.r r'~ .. Address,~ 6a +-/, 'JtA- !(~~ Ci ty .c;1Jy','It~.r;.t.PJ Phone - I ( 0'ilNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ' Owners Signature: , DATE: )IJ -dJ.. - Cj 7 RECEIPT #: d<7?J~~ . RECEIVED BY: ~ 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 ELECTRICAL PERMIT APPLICATION Ci ty Job Number 970 qlg> 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 B. 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 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or. 1000 $ 40.00 $ 55.00 '$ 80.00 volts see "B" above Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation --J-- $ 4Q.00 ~.~ Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE -1 ~ . 5% State Surcharge .:l~ 3% Administrative Fee l ~ TOTAL 43.20 -