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Home My WebLink AboutPermit Electrical 1994-11-8 \, . . The following project as submitted h~s the followln zoning, and docs not require r.pecilic land use 225 FIFTH STREET approval, ELECTRICAL PERMIT APPLICATION ~~~~~~~;;>img~~~~ 9~~~7 3769 Zoninp L-f:)(L City Job Number ~4171+ OFFICE: 726-3759 Dl!ta Vl-K....C( ~ ( 1i'\.~"-.9>KPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLA~r1z0d Signature ~ ' 5~~~Y.Z!'Y7 LEGAL DESCRIPTION /7~2 '3'3 0 D (!;) / ~ h1' ' - JOB DESCRIPTION mer. ~~_77~1 , ,- Permits are non-transferable and expire if wor~ is not started within 180 days of issuance or if work is suspended for 180 days. 2 ~ .' CONTRACTOR INSTAL~TION ONLY Electrical contrac~J~~ ~ Address \\)\9 _\.. 9\oyn 'L Q .J Ci ty € k. 1) 'Li\ CL 'Phone '\~ . \qD \ ' lP~8 .\~C() Supervisor Llcense Number C\ 4c:2 '" Expiration Date \ n. \ .qc':; Constr Contr. Number \p?, \ ?1'1 Expiration'Date \~. a~,q~ Signatur of Supervising Electric~an " .' V Owner.s Name~JJ~ ~~) - ( Address City Phone~g~-/417 , ' OVNER INSTALLATION The installation is ~eing made on property I own which is not intended for sale, lease or rent. Owners Signa ture: ' --------------------------------------- DATE: RECEIPT #: nUI"''t'T\Wn RV. /1/~AtI- , j ~"\ '97 , I;.. -A' A'I' ~ - SPRINGFIELD . A. New Residential-Single or Multi-Family per dwelling Service Included: " , . ,- uni t. , Items Cost Sum 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or ", Modular, 'Dwelling ;:-';; -" Service or Feeder $ 85.00 $ 15.00 J-- $ 40.00 ~ B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 am~s to, 600 amp~ 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 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 volts $ 40.00 $ 55.00 $ 80.00 see "B" above .', D. Branch Circuits , " , , New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or, irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Ehergy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 4/) t!r'P . 5% State Surcharge ' ":l..~ 3% Administrative Fee -.t.2..0 TOTAL .d::1 2..0 Co ~I .' . . S'~nING.O The following projoct as Gubmltted' has the f ., . zoning, and does not require llpeclf1c land use 225FIPTB STREET approval, ' ELECTRICAL PERMIT APPI.ICATION' SPRINGP'IELD, 'OREGON 97477 Zonina L"OIZ- C'///4 f'\ ...., INSPECTION REQUEST: 726-3769 q . r..-f Ci ty Job Number 7 -,- V ~ OFFICE: 726-3759 ,Data -2..-1 ~'1 , , i" . . A ' '+ 3.,..JCOMDf.ETE FEE SCnEDULE BELOV 1; LOCATION OF INSTALLATION uthonzed Slgna,ure r- - , 52,::; <) 2)A:-ISw "'fT. ~/37' A. New ~esidential-Single.or " I" , Multi-Family per dwelling unit. LEGAL DESCRIPTION' Service Included: J7/J2 _~ c:: t2.f) 1O/,'<,CfO 'Items Cost Sum C. Temporary Services or'Feeders Installation, Alteration or Relocation JOB DESCRIPTION f11,H. f?~ . 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 D. . - , Electr_i~l_iln~ctor~~~~~__ELtCr:. Address ~S ~~1 2->, i. - ,\\fE-- , Ci ty _P.Ll (-, ~~_ Phone 12.J1-l5DO Supervisor Licen.se Number qlt~l.) 'W-/~dd Expiration Date to :- \ - C\ C:j Constr Contr. Number (03\:11 Expi'ration Date \2--L..,_cE? . ' Signature of Supervising Electrician ~~~ .. Owners N8:me ,/Jl)lA,V\' \A.e tAJ.'")\5 S' Address 40"3 vJ' f\J <;;t-' , Ci ty '" ~~ Phone /7.h -lr:Z-t./7 ,OVNER INSTALLATION The installatioh is beirig made on property I own which is not intended for sale, lease or rent. . Owners Signature: .' , DATi~-:--~o/: Z;r:''1z.r~------------~--- RECEIPr I: - 1 Lf-J ~(p RECEIVED,' BY: 'Cl..A./V' 0 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder --! 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 $ 85.00 $ 15.00 $ '.0.00 .1-0 <fC S 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 1.0.00 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 1_0.00 $ 55.00 $ 80.00 volts see "D" D.' Branch Circuits 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 Permi t E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 4'9TAL~ :?~cl'~"""h'. T1J-~t- - $ 35.00 $ 2.00 not included) $ 40;00 $ 40.00 $ 20.00 $ 36.00 40.00 . , c-f:) ~_. J ,'2.0 43,.2.0