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HomeMy WebLinkAboutPermit Electrical 1996-11-14 Th': lo\'owln" proj'ect s,r. submitted h3S the 1a:ICNting. ';:l" I ::'I' . ~.,; '0-' ll'O zoning, and dCi:s not roqwre SptK;h.C d'-.! Oi' I nppro.....aL 225 FIFTH STREET I rVJ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zooir,g (/IAt/ INSPECTION REQUEST: 72~.1l6~ I =--Ll:'..:::.rtv, Ci ty Job Number c;r 0/ II ()~ OFFICE: 726-3759 ~ -t llnA Authorized Slgnatu'o_--1~Y.L.{;OKP-hE'l'B-PEE SCHEDULE BELOII 1.' LOCATION OF INSTALLATION r- _ ('_II ~(")S<f'l ~ ~+Ir1"'t":t- - ~ A. Ne1J Residential-Single or Mult i-Family per d1Jelling uni t. , LEGAL DESCRIPTION Service Included: / /-Or ~-o/ /' , /?,&?Z> I terns Cos t Sum , JOB DESCRIPTIO~ 7/- , ' Bh~. A:;..)'l'l' _ r~~pa:-c ". . l Permits are non-transferable and expire if 1Jork is not started 1Jithin 180 days of issuance or if 1Jork is suspended for l80'days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor__f)Jj7~' 2=~~~ Address B.2.j /'J.... j:) A. H 1-~' A l... tJ , Ci ty FL",f..E AI e., Phone Pi q- ;'S'(j- P Supervisor License Number t:i g-s, Expiration Da'te IlJ- 1'- "j7 Constr Conn. Number d-c-/7C Expiration Date 10- 1- 7"7 Signature of Supervising Electrician /)~~, );G~ ' 01Jners Name~ J { Address 2[,,\C:;" F s,t-:. ~q Cit~~jr:Lphone~ OIlNER INSTALLATION The installation is being made on property I O1Jn 1Jhich is not intended for sale, lease or rent, Owners Signature: --------------------------------~------ DATE:_ //-(q'-~ RECEIPT Il: ~~.:;; RECEIVED BY: //' -""'/2-, , 'R'p-'- 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular 'D1Jelling Service or 'Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 ..: :$ 40.00 $ 50.00 5f> $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 100u D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see IIBII above .' Ne1J, Alteration or Extension Per Panel 35,- One Circuit --V $ j).U~ Each Additional Circuit or 1Jith Servic~, or Feeder Permit .~ $ 2.00 /D not included) Miscellaneous (Service/feeder -Each installation PUlTlp or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~._o '3.- /. ..:s ~cy, stQ.