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HomeMy WebLinkAboutPermit Electrical 1995-9-12 The following project as submitted has the following z0ninq, and doe:.; not require specific land use ai,;.proval. Zoninq ~D e, 9}i~'%-I;~~~-( Auti~vri2:ed Signature N tv\. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 lJtnUf * ~rcff~7\ffiillia ) . "" \ .,LE~4!:g~ION C) ~ \ ~B DESCRIPTION .\. ' t l I it- \ u.L \ <I I O..D.- u.f'\ - I ~ ' \1- '\ 0 Permits a e non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 1. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor #AvG,f( /HAMJlf~r E(~c.T. , Address 35"~ .s c,,~ Ci ty 5Pf~ Phone 7c.(C(~" (,~ Supervisor License Number '3 S 77 - S Expiration Date /0 _~S Constr Contr. Number f~~ L 3 Expiration Date :;- S..9 (0 Signature~suPz.g Electrician Owners Name ~ futlo~ Address QID' ,- Cit~~ Phone ~ ca-3 Lo018 ,OVNER iNSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ---------------,~--------------------- DATE: // /2/9.r RECEIPT #: ~ ;/tg. )~? e RECEIVED BY: ~ -<~ .: .....:., :":" '..' ....'... ELECTRICAL PERMIT APPL'{-j\AY~ City Job Number CJf,:)~-l) 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less 2-, $ 85.00 \lD Each additional 500 sq. ft or'portion 2. ~~) thereof $ 15.00 Each Manuf'd Home, or Modular'Dvelling 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"oT 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 $ 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 $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~~ Lt::? . eJ-o , /' ~ ( tI!" . ~,CZ>