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HomeMy WebLinkAboutPermit Electrical 2001-1-1 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 '. /3. 1. 9~1IONFl/h~yr7a~e /().pi;"SPreltJ LEGAL DESCRIPTION 180Z0)2--3 6C 2.0 ( .JOB DESCRIPTION, h t. IAJ., q ~V't\..,' e Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor \ /. ~ / City' Z\b 6e . superv, isar License 'lImbe , Expiration Date \ .' Address " Constr Contr. Expiration Date Signature of Supervising Electrician I' ~ij];, ~ *;~~ own:rs Name 1\..b eJt)ce.' DB t!e:{-SeY1 D. Address ot 1'1 '.(:\. \,f) f!~;r~ l~vt..e- Ci ty .C?~l'\nqA"eJ ~ Phone~41. DltJ. 19 '. ~ OVNER INSTALLATION The installation is being made on E. property I own whi~h is not intended for sale, lease or ren t . ~. ~;;:~~J ~O _____~---_-_------~-----------~------- 5. . DATE: RECEIPT #: RECEIVED BY: / ELECTRICAL PERMIT APPLICATION City Job Number 61-o-bblb~oi . COMPLETE FEE SCHEDULE BELOY New Residential-Single or Multi-Family per dwelling unit. Service Included: Ite~S' Cost 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 t~ 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"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above Branch Circuits ,. New, Alteration or Extension Per Panel , $ 35.00 36 One Circuit Each Additional Circuit or withServic;~ or Feeder Permit L, $' 2.00 y Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $20.00 $ 36.00 Jr<1 Z.,J ;/7 t.f 7- '0_ .-- .~