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HomeMy WebLinkAboutPermit Electrical 1995-5-18 The, following project as submn1ed h;lS tho follo\\ zonmg, and does not require !ipecific land u"'e approval. C- ~ Zoning L,,-D Dete<;/ \'t,~Ch' 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477Authorized Signature 726-3769 1. LOCATION OF INSTALLAiZON ~2.q., .{ J". 7 ~L - - - ~ LEGAL DESCRIPTION r7fJ2- ;1,< 42.. oe/OJ' JOB DESCRIPTION e.x:7'tStYl> F/Irl'. At.N? Permits are non-transferable and expire if ..ork is not started ..ithin 180 days of issuance or if ..ork is suspended for 180 days. tJJV\ ELECTRICAL PERMIT APPLICATION '-'~ 1..'1 .l......b Number 3. COMPLETE FEE SCHEDULE BELO\l 950~c::'f A. Ne.. Residential-Single or Mul ti-Family per d..elling unit. Service Included: , 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 'D..elling Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders I f/2A - Ir Installation, Alterations Electrical contract?L4!!dbU,<fif.KFnfMhr; Relocation: Address 3/b. s;, S'{J.nl {7 ,200 amps or less ~. 201 amps to 400 amps Ci ty<).vz.<, . Phone 7<(7 ;l..P8:i1 401 amps to 600 amps I " 7 <{ 7' 6 I 7<1 601 amps to 1000 amps Supervisor License Number "'5755' .s-Over 1000 amps/volts Reconnect Only Expiration Date 10..9:;- Constr Contr. Number 7l'O~~- Expiration Date ,1CJ- </..; Signature )If Supervising Electrician do 1/Rllk:~ O..ners Name ;c'~ r /;tz::.. Address .~ 2..a. L". 74l!J. . rT. Ci ty Phone 7'J,.~-S<2J/?;( 01lNER INSTALLATION The installation is being made on property I o..n ..hich is not intended for sale, lease or rent. Ovners Signature: ------------------------~------------- DATE: S-//S/tfi,r RECEIPT 1I: ';.-74'2.d, RECEIVED BY: '#,y._, $ 50.00 $ 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 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "Btt above Ne.., Alteration or Extension Per Panel " One Ci rcui t ___ $ 35.00 . ~ 5. c9-D Each Additional Circuit or ..ith Service or Feeder Permi t $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge '3% Administrative Fee TOTAL no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~S'" c:"O ;.7S /./J.! ??/Jo -,.