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HomeMy WebLinkAboutPermit Electrical 1995-3-24 .)?$7> ~, \, '\ The following project 8S submitted has the foil zoning, and does not require specific land use' 225 ,FIFTH STREET approval. {2 ELECTRICAL PEIDUT APPLICATION SPRINGFIELD, OREGON 97477, ZoninQ l-~'P V INSPECTION REQUEST: 726:-:37o~eG-it1-.C1 'J City Job NUmber ~~ ;Z?-=3 ' OFFICE: 726-3759 ~ AuthortlDldSlgllebn , ~)'V\.COHPLETE FEE SCHEDULE BELOV 1. LOCATION ()~NSTALLATION" 7:)' J j ~~ L..AZRi'!/~~ r-C, A. New Residential-Single or -, -,. . ',' Multi-Family per dwelling uni t. LEGAL DESCRIPTION Service Included: /7"'ttf'~"27"'2/, ~r//.2~ l / I /;."., . JOB DESCRIPTION W4~~t;-- ~."1 ~~ ~. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or I Modular Dwelling ! Service or Feeder Items Cost Sum --- $ 85.00 $9.. ~ ~, 7'2-:~ $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B.Services or Feeders : Installation, Alterations Electrical Contractor,lJfcf<alZ/~ tf;115(~ or Relocation: I Address A(!), ~X III Ci tyW~J-'/~ ?71"~hone 7~? -1!d-f, Supervisor License Number 3tlj'~ S Expiration Date /(!J "'1-7'5" , Constr Contr. Number ~~~~~ ~xpiration Date 3-/3 -9~ :200 amps or less :201 amps to 400 amps 401 amps to 600 amps ! 601 amps to 1000 amps 'Over 1000 amps/volts . Reconnec t Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders . Installation, Alteration or Relocation Signature of Supervising Electrician ,)t~/(a~~.2, , .. Owners Name~ ~ ~-er.s , \ Address, ~?,/y/ ~~#'~' ~ ~ 'City~~~/t-Phone ~/y/~ OVNER INSTALLATION The installatiori is being made on property I own which is not intended for ~~le,lease or rent. Owners Signature: ~~~~-:~----~~~~~~~------ RECEIVED BY: ~,. 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D.; Branch Circuits I y $ 40.00 t.,/h e:-?> $ 55.00 ~ $ 80.00 volts see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation , Puinp 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 TOTAL $ 35.00 $ 2.00 not included) r-:? r? $ 40.00 $ 40.00 $ 20.00 $ 36.00 /~. ~a> { ~.. 5'~ 5'.-/ #f> /~-,... '" &1>