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HomeMy WebLinkAboutPermit Electrical 1996-3-25 The following project as submitted has the foil zoning. and does not require specific land use approval. .J () Zonir'o ?'l.. rA/ f2-.-/ Oats 2> ~5~ tI 97477 I, I ,g-,O 726_3flt~}(frized Signature., , 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF lNSTALLATION h;? /!~ ~A/776-?-?-/ A9- ELECTRICAL PERMIT APPLICATION .a City Job Number 3. COMPLETE FEE SCHEDULE BELOY 4~o /6 9> A. New Residential-Single or Multi-Family per dwelling unit. Service Included: ~1()1.~ON roS<tg \ ~ ~e~~~-~~~:~n~~eXPire if work is not started within 180 days of issuance or if work is s~spended for 180 days. 2. CONTRACTOR INSTALLATION ~NLYB' , I' ~-- Contractor ~~ ' ~. / City ~ Supervisor Expiration ~ Constr Number Date ature of Supervising The installation is being made on property I own which is not intended for sale, lease or rent. ___ \o~/::ers i~~re: , L ",' ,/~ /Y//~""_ D~~~~~~--~--~-5-.11~~to~--- RECEIPT #: U (()'tfJ<.1 RECEIVED BY' \J~~-' V Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 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 ... $ 35.00 $ 2.00 C. Temporary Services or Feeders Installation, Alteration or Relocation I ~- d'J 200 amps' 'or less $ 40.00 g- 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above ~ (..."tll\l\lI1\t\ Q..' ~ , VO\""o. \^'^ '^,.p D.~ran h Circuits 'i~~~e_\-,: HJ~"\,V' . U~WD Address 8ri.& r\ ~ \9.~ ' ew, 'Alteration or Extension Per Panel Ci ty ~. ~ Phone11 t,;~\ c ~:~h C~~~~~~onal Circuit or with Service OVNER I ALLATION or Feeder Permit not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. s. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 $ $ $ $ 36.00 f(~_ OJ . Ul!_ 4~~