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HomeMy WebLinkAboutPermit Electrical 1995-12-5 . SPRIN!ELD - ,,-.- 1-11....win approve!. Zoninn 225 FIFTH STREET D~e \ 2... s- '15 ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ~ INSPECTION REOUEST: 726_37&9.>t",ori2edSlgn&IUre r \. (;ity Job Number 95 - 1(P5:~ OFFICE: 72~-3759 1. LOCATION OF INSTALLATION J./., ~ "7 A/oJVn../ II A." .57". \f)n~PTI?J:f}r[) JOB D~~PTION . A-11O ((,,)-- iBntA.-Ju../ Cltt'-I/ITS , , 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. CONTRACTOR INSTALLATION ONLY \ Electrical Contractor p~\~~ ~~^-.J ~l(.; bc-VD Address 2- ( 2-1 Ci ty eVf::1 ESrv~ Phone ?<t::. -74:<.i:'L Supervisor License Number .;;27 ~ -oS 10 - I - 7~ .. Constr Contr. Number .~... ::i)"Z-rJ J./-I5'" - '75'" Expiration Date Ci ty 11..eIt'!/~ 1111...1.. Phone br. '17'1S!::' 01lNER INSTALLATION The installation is. being made on . property I own which is not intended for sale, lease or rent. Owners Signature: tt1"r --- . . DATE~------------:- ~-~~. --~--- RECEIPT II: I I W.J.c) RECEIVED BY: (2)1>>-:-;: \ r'..::.. 3. COHPLETE FEE SCHEDULE BELOV 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 Modular Dwelling 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 It ems Cos t 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 RelocatioA or less to 4'00 amps to 600 amps amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above Expiration Date 200 amps .. 201 amps Signature of su~er 1 'n E~ectri . Over 401 . /? Over 600 'JP.. / ,.- . ~ -P...k'-" ___ ... ~ D. Branch Circuits Owners ~a:e Me ~/~;/(/e'n -Atno Address f?f), ~ox &40 JfX'U ~ &'7,.,1.;"" New, Alteration or Extension Per Panel One Circuit / $ 35.00 .3.~ Each Additional Circuit or with Service or Feeder Permit 5 $.2.00. 10 ~ Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 If.:::,. -;.:: ;.;.~ L ..;..,') 4g.(d) '.