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Home My WebLink AboutPermit Electrical 1994-5-12 The, following project as submitted has the folio' . zoning, and does not require speci\'ic lend use 225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonina ~ q40~c() ~~~~~~IO;2~~~~T: .726-36~~ 5-,2...1.4 "City Job Number Authorized Signature t)3_jvlCQHPLETE FEE SCHEDULE BELOV 1. ( LQ.GATION OF, IN~\\N _;.. () O~\ l .A..1- ,'O( qj\I\1U..l.J A. New Residential-Single or Multi-Family per dwelling unit. Service Included: \fl~~t1'W510b~ 4B~~TIOH~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ! 2. CONTRAClOR INSTALLATION ONLY B. Electrical Contractor4~/A &#/C, Address ~76'/:- /C~~ City ~r~ Phone..3~-?2?? Supervisor Licen.se Number .,25 :2tJ-5 Expiration Date Constr Contr. Number /()-73 / 7:J3- z... / tJ-9 .3 .1 Expl'ration Date .. Signature of Supervising Electrician . . C,;h/~4-,--??- ovne~me (l ~+i<) (1lX1d- AddresrlP ~~ J,' CwtQlJ11111() City ~ _ Phone 'M-\-'~.:)I om IJs,)ALLATION The installatioh is beirig made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~---~----~~-r~-~-~-------~-- =~'iYrYf~J ,~'\~ . 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 Dwelling Service or Feeder $ 40.00 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 c9- 1lY)[V $ 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 D. Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see "B" above New, 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 TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 . cJD lQn. . " .~ ou 11 ) c'=; tXL . . <55....10/94 13 : 45 , '6'5,03 , /-- 4808 225 FIF'I'R STREET SPRINGFIELD. OREGON 97477 INSPECTION REQUEST: 726~3769 OPPICE: 726-3759 I. LOCATION OF INSTALLATION / _,~5/ t/, (l~#1RP7;;/'4-4 LEGAL DESCRIP'TIO~ JOB DESCRIPTION --/-'-!~ ,;:2 - flOd/J d/J~> / Permi(s are non-transferable and expire if vor~ is not it~rted within 180 days of issuance oc if ~ork is suspended for 180 days. 2.. COtrrRACTOR INSTALLATION ONLY B. ~Pi?t/d&05 Elec.tric.al Contrac.tor E~/c.- Address ~ 7r2 if/C/~ &/v-/ Ci tY --.&....$U""'rc.-L Phone ..3$13-729;/ , Supervisor License Number ~~-.;> Expiration Date /cJ -.yy Constr Contr, Number ~ ;7~~~ Expiration Date ~~;9.~ Signature Of~ sperVi.S' g Electrician ~) ~~ ~d -~ ownt: Name ~1r m 6J12f/-J4~ D. Address 457 /.//. &#~##/~ City Jp~ Phone 3f//- -5731 / / OVNER INSTALLATION The installation is being made on property I own which is not intended for salet lease or rent. Ovners Signature: DATE: RECEIPT #: RECEIVED BY: REYNOLDS ELECT ,~' . SPFD DEV, [4J 002 City Job Number 941~~ 3. COMPLETE FEE SCHEDULE BELOY A. Ne~ Residential-Single or Multi-Family per dwelling unit.. Service Included: Items Cost Sum 1000 sq. ft. or less Each additional 500 sq. ft or portion thet'eof Each Hanuf'd Home or Mod.u~ar Qvelling Service or Feeder S 85.00 $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less ...2- $ 50.00 ~jO 201 amps to 400 amps $ 60.00 401 amps to 600 amps S100.00 601 amps to 1000 amps S130.00 Over 1000 amps/volts $300.00 Reconnect Only S 40.00 C. Temporary Servic~s 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" abo'Je Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circui~ or with Service or Feeder Permit $ 35,00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Eac:h ill:;; talla t ion Pump or irrigation $ 40.00 Sign/Outline Lighting S 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL Of ABOVE 5% State Surcharge TOTAL /,/6 - ?-- ,/C_S-~'