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HomeMy WebLinkAboutPermit Building 1994-9-27 . . . zoning, and does no r approval. , ~Ve, 225 FIFTH STREET Zonma SPRINGFIELD, OREGON 97470ete q - 2.,-.cr'1 ~~~i~~IO~2~~~~T: 726-'?J~c?rtzed Signature ,JJ fV--/ 1. LOCATION OF INSTALLATION 5"t;~o ))A:75k #/0 I LEGAL DESCRIPTION )702. ~ '!- ~4 I') /4'2-'- JOB DESCRIPTION -UI:.-C/A?~~ /L} d"~c I . 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 Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician ,---. { ~ ,('IOe'-t"1 (c.s Owners Nam~J\..rr ~ (l Address 5&&0 l:>,4(s~ Ci ty $~( 7 r<<r; ~ (e /hone I ~/O '717-3uS~ OVNER INSTALLATION The installation is being made on property I own vhich is not intended for sale, lease or rent. . Ovn~:;ta.A. ~-----------------------------------~ DATE: 1'/27/'14 RECEIPT #: . /4t2. 2'2 . RECEIVED BY: #~ ELECTRICAL PERMIT APPLICATION City Job Number q'/'/4B5 3. COMPLETE FEE SCHEDULE BELOV A. New Residential~Single or Multi-Family per dwelling unit. Service Included: It ems 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: ~ Cost Sum $ 85.00 $ 15.00 $ 40.00 tJ'f- .50- 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 /V'" $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits C. Temporary Services or Feeders Installation, Alteration or Relocation $ 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 0- E. Miscellaneous (Service/feeder -Each' installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm D. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 ~ ,/0 '- not included), $ 40.00 $ 40.00 $ 20.00 $ 36.00 tJV UU - .~ (J~ /, ~o ~~, 6'0