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HomeMy WebLinkAboutPermit Electrical 1998-8-5 J" .... iB" ""e-,Oflo '~rvr~ . -- ~ zoning, and does not require speclftcland use approval, , -{ Zonlnp l~ Date~f1-L 225 FIFTH STREET. AUtbortz !d.~ n YV\ . SPRINGFIELD, OREGON-~T~7 . I \ INSPECTION REQUEST: . 726-3769 OFFICE: 726-3759 / ..- ,.- 1. iCSTlJ( OF Fflnac: / 7o~frgreJ I DO I JOB DESCRIPTION '- i. ,~. I I ~. \\t: ::::rV;$or LiS~~~e' EXPir~te Constr Contr, Number f Expiration Date ",' " S~g;i1'a ture of Supervising Electrician Owners Name ~r -lrrr- Sf\J fj,;-VL- Address 5 -; ~o; Jryl/~ V S i _ :it Irr- Ci ty So.~l/{J fti Phone 7 L/ 1,- )c;11 ~~RI<<fTALLATION The installation is being made on property I own whi~h is not intended for sale, lease or rent, Ovners Signature: .~~~. ~~~E~-___L~~1C(~~-~-~-~-~--------- RECEIPT #: ( I ( ) ~~ (51<-( y RECEIVED BY: i2 'Y//1 -1....1 ' ELECTRICAL PERMIT APPLICATION Ci ty Job Number q? () 5 &; V 3. COMPLETE FEE SCHEDULE BELO~ Cost Sum $ 85.00 <66/OQ 50-00 /' C. Temporary/Services or Feeders Installation, Alteration or Relocation 200 amps"or less 201 amps to 400 amps Over. 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 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 not included) -Each installation Pump or irrigation $ 40.00 Sign!Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE -LiS" () D 5% State Surcharge :5 ' 7~ 3% Administrative Fee .3- 45;;. TOTAL J J-lf~ .L 0