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HomeMy WebLinkAboutPermit Electrical 1996-6-3 .. ' zOning, and does ,,!ot require 8pSlOftlc land use approval. '. : 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726~3759 ZonlrlQ 1''1. ~ ~ 974TPate-1g' J5.CUL 726-it7~~zed Slgn~~ . l.~~~~(O~~~fcJ \-i6't6~TIOl\a~ \ ~mIPTION ~\B' p~~mit~are non-transferable and expite if work is not started within 180 days of issuance or if work is suspended for 180 days. 2.' CONTRACTOR INSTALLATION ONLY B. Electrical 'contractor$ffll 1'1/5 btEc-1}'!..rc- Address zrO v//h:--C--f.5 1/- e- Ci ty &1?'6<Jf!!::: Phone b ~7-f 3b2- Supervis~r License Number \50 Lf 1-# Expiration Date /0 - ( - 95 Constr Contr. Number 73 7 b 2--- Expiration Date ~ -? - 95 Signat~r;?of ~ervising Electrician ~/~._~ o~ner~lhM . Addres~ }JO \~ ~ CitY~~~Phone~('f) 61-3. OVNER INSTAL~TION - 401 ( The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: .' ~~~~~~-:~---~~~~;---------- RE~,EIVED BY: ,t( !~+--"' 1 ELECTRICAL PERMIT APPLICATION Ci ty Job Number - C\ \ol1dL/ ... ~V' 3. COMPLETE FEE SCHEDULE BELOV , A. New Residential-Single or Multi-Family per dwelling ~nit. 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 Services or Feeders Installation, Alterations or RelocatJ,on: 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 Items Cost Sum $ 85.00 !JO $ 15.00 ~ $ 40.00 Q,. Q- $ 50.00 $ 60.00 $100.00 ' $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 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" above C. D. Branch Circuits 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) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~~ :2.~OfO I~~ . - '7 -2,0 -, ~i. 2dQ .t:.-.-/ c