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HomeMy WebLinkAboutPermit Electrical 1995-7-21 The, following project as submitted h'! zoning, and does not req" <, " . as the following approval. Ulr9 "paCIIIC land Lisa Zoning_ L D f2- 9749'}9 7 -2-/ r-q;- 7~'3)7i6&i Si~Jni.-ltur6 N f\I\ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 l'-1n(aON ~~tt~~L LEGAL DESCRIPTION _\\DL"25~~ t/5DD'L ~ <1;B~~~PTION \,1.q 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 WAfJG.f( /HAtMJU.~r Ef~c.T. , Address 35's S c"A. Ci ty 5Pfi) ,Phone 7c.(c.(~" r,r Supervisor License Number '5 S77 - S Expiration Date /0 _4:fS Constr Con tr. Number f.,"f L.3 Expiration Date ?,- S..CJ (0 Signature of Supervising Electrician 7?d,~ ' Owners Name RC\\\ ~~~ Address 2.ft) ~~ Ci t~\"1.h ~ Phone <(ffi ~3 ~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ----------------r---------------------- DATE: () 4- . qs ., RECEIPT #: '\:J ~ "'\ \~ ) \ RECEIVED BY: (~~L)( ~_}. -' ELECTRICAL PERMIT APPLICATION Q~lo~s City Job Number 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling uni t . Service Included: Items Cost Sum 1000 sq. ft. or less \ $ 85.00 ~5 Each additional 500 sq. ft or portion ~ ~ thereof $ 15.00 Each Manuf'd Home, or Modular Dwelling Service or Feeder $ 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"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 D. Branch Circuits .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit S 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ s \\~~ .~~ T!.\, ~ -~~ ~-q .1"-0 40.00 40.00 20.00 36.00