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HomeMy WebLinkAboutPermit Electrical 1996-10-9 zoning, and does not requir~ specifi~.la~d use- . approval.. . 225 r-J.1'Ul .)l!\UoJ. Zonina ~U SPRINGFIELD, OREGON 974n...._. 1 -.. INSPECTION REQUEST: 726~l1t....- ~ OFFICE.: 726-3759 Authorized SIgnature fJf\A.. 3. COHPLr.u. FEE S\.ar.uULB BELaV 1. LOCATION OF INSTAT.T.ATION .&00 ~4~.4~~~ ~7i, \1~~~O~ <~- ~:'"~ ~... . ELECTRICAL pJmKrr APPLICATION City Job Number ex. lQ \o1() New Residential-Single or Hulti-Familyper dwelling unit. Service Included: A. JOB DESCRIr J..J.ON .. 1000 sq. ft. or less l(~f /J(1/1 1#/. feyad..r.f ~ '-ha.#l,,-A~t0t.e~ Each addi tional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for -180 days. Items Cost Sum $ 85.00 $ 15.00 $ 40.00 2. CONTRAC!OR INSTALLATION ONLY B. Services or Feeders . Installation,. Alterations or Electrical Contractor,iJr~f1tf~;?~-,,~ &.Relocation: () Address -PI} lj/lJ( C:Z7b5 CitYW?f1..-J Phone b:fb~Rhl2- Supervisor License Number .3~L/{):s Expiration Date /0/1 /9f' Constr Contr. Number .3t'70;:L Expiration Date ),;l/~I/~t., 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 c. $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Si~~~U~;;ViSing Electrician Oovveerr 460001 to 600 amps $ 80.00 ~ amps or 1000 volts see "B" above \. D. Branch Circui ts Own rs Name]i-1-at;~'/J7lt10.IILJb;h ~7zul'qoNeu trNEw, Alteration or Extension Per Panel Address fJ IJ & V ..:JIB I 4Jy tJ1..9--0.? Ci ty ~{~./ Phone OWER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. One Ci.rcui t Each Additional Circuit or with/Service or Feeder Permit _~ / ~5 00 $ 35.00 $ 2.00 R, O~D E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 , Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 Owners Signature: DATE: \ \ ) . q '(:\.0 - ... "'"L.\-f\ - t( 1(\ RECEIPT t: If U .~~- tJ'. ) . RE,-tAJ.vt.u BY: ~L~J~;;/.- 5. SUBTOTAL OF ABOVE 54 State Surcharge 3% City TOTAL L/3~2Q DL,IS --./ ,cX:q .,.. J./h ,4L-I)