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HomeMy WebLinkAboutPermit Electrical 1995-4-3 . - SPRINGFIELD bmltllld has the followln The following ~lol.ct os QU, ~. land uea ~ :i Ov63 not require ep8Cll", 225 FIFTH STREET zc,.,ng, an' ELECTRICAL PERMIT APPLICATION 4PJ.lrOval. SPRINGFIELD, OREGON 974/I L-DiZ INSPECTION REQUE'ST: 726_376~onino , r..-- ,. OFFICE: 726-3759 D('rt.L+~~-'\' 1. LO~~,ON OF INt:;.LA'1JHJNZed Signature ~r~2 ~ ()5F LEGAL DESCRIPTION /76)3 24 lJ'n ~t9 7/4> . t JOB DESCRIPTION ~~.I' S. F. .A?~ !~~-. , ,- Permits are non-transferable and expire if york is not started 'vi thin 180 days of issuance or if,vork is suspenaed 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 '- Ovners Name ?J:"6TtfrtY. /-9~ Address 24/eJ {'AI:. \t,<<.tu ~. / City ,Euc. Phone~S"-1Wfi, OYNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. ~ ~ - -------~c_------------- DATE: 4-,O"ct, r.. RECEIPT jI: b\~ -Un~-<{, t RECEIVED BY: - - ;/ City Job Number 7'~z54 . I IJ~' COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling Service Included: unit. Items Cost Sum 1000 sq.ft. or less ~ $ 85.00 ~e>o Each additional 500 sq. ft or portion /~o thereof ;f $ 15.00 Each Manuf'd Home or . Modular Dvelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less V' $ 40.00 ~ 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 100U volts see "B" above D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service ar Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Camm not included) 5. $ $ $ $ '3-3D. ('X) ~-~: '7- 6. ~o 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL