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HomeMy WebLinkAboutPermit Electrical 1996-7-17 c. e 0 zoning, and does not require specific land U8e approvel. Zoninp C, r, Dale~ 97 fflortzed Slgnslure '7rY\. 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION C q IS W>{)~\<,. cc..alr." \5'lD S. A-STre.e.,t \ f\'6~~~~~ONOlo~\ JOB DESCRIPTION \\"15\-"\\ ; \\v'(\",. ~(,H~-\3."Ui"" ~\o.,,", ~ ,j Permits are non-transferable and expire if work is not starte~ within' 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor E.StA IlJG , ., Address\7~ln OAIL(.>1\1LH ~D Ci ty b.l~()(. Phone YRS-S:S'll'L- Supervisor License Number 5'1CJ- S,I<'o Expiration Date \0--1- '11"... Cons t r Con t r. Number \ \ \ 7- y,l, Expiration Date 2..-2-9'7 City Job Number ELECTRICAL PElUIIT APPLICATION o..\.d:fMD 3. COMPLETE FEE SCHEDULE BELOII A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or ModulaL- 'Dllelling Service or Feeder 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 Items Cost Sum $ 85.00 $ 15.00 $ 40.00 " $ 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 11 vp) ~ OWneL"S Name (' ,T E !Z.e()h.,\ <;. StA. k~ Address \S'7tJ SOl.lm A S-\-.r<.eT CitySP\';.n"'\;,~\o.. Phone '72L-'1~1\ oJ O\INER INSTALLATION " The installation is being made on property I Olin which is not intended for sale, lease or rent. Owners Signature: --------------71r-rT---~~----------- DATE: .' 1..:_1.1.0 . ':1.10 /Itl, 11- RECEIPT 1\: ~ ~ RECEIVED BY: ) 200 amps"or less 201 amps to 400 amps ----- Over 401 to 600 amps ~ Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above , .' ::Nell, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump 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 'e3% Administrative Fee TOTAL $ 35.00 -- $ 2.00 not included) . !. $ 40.00 $ 40.00 ~ $ 20.00 $ 36.00 4\).00 c-<J .vy ~'1f0-