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HomeMy WebLinkAboutPermit Electrical 1994-11-4 , " The fOllowing project flS bitt.' . ' .. zoning and d - su 1'11. ad mas ,he fellow/nf.) . . approv'al. oas not rsquire apocmc land use . 225 FIITH STREET L' O/} ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonlnp . ~ ..' INSPECTION REQUEST: 7BB.a3769/1_JJ_qu- City Job Number 9c// Sb 3 OFFICE: 726-3759 ~~ , Authorf2.1s,-.;l Slgoatum O)~ COMPLETE FEE SCHEDULE BELOY 1. to,c~T;ON O~ INSTALLA~ION ( I ,6 . C edAl fe4f 01-( LEGAL:DESCRIPTIONA / 767 3 Z&:..4-r-- '/CJ7~D , J9B DESCRIPTION h ') t' ~f111 /I- ir '<..Jo/V IS / L"I. (!. ('I( C ~ f s , Permits are non-transferable and expire if work is not started within 180 days ot issuance or. if work is suspended for 180 days. 2. :CONTRACTOR' .INSTAL!,4TION ONLY, . .' J;I}d( f1t rlftr;K (/. fd Il , Electrical Contractor cLEe. (. 1/fIe:. Address "bit ~ ':)jl)d ,(t 'Ci ty C;//ltS.:.(e1 cI Phone 7L(1 :PtJ~ -f' (/ , Supervisor License Number ],? s)' t1 Expiration Date /O~ 9~- C. Constr Contr.Number'7'7t1 .1'') ~73d'C ,I , ExplratlOn Date /6~ 9'1'- Signature of Supervising Electrician // ~ \ /J - "J )fi~A/ /~/1~ c;r-' - Owners Name CA:{~ ~ Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ------------------~---~--------------- DATE: If /4'/ "l i RECEIPT #: . , i;Xr.;3' 7 RECEIVED BY: ~~ . ' ...... . - ~~--- ~~ -';:",J A. New Residential~Single or Multi-Family per dwelling unit. Service Included: Items 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 Cost :~ Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 . . Temporary Services or .Feeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 volts D.' Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel ,. One CirCUIt ~ Each Additional Circuit or with Service or Feeder Permit 5 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 $ 35.00' -3.Se>o $ 2.00 to <- t>{J not included) $ $ $ $ 4/, tH I 2.~S' 1.'2.3 .H, :La 40.00 40.00 20.00 36.00