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HomeMy WebLinkAboutPermit Electrical 1996-8-15 '. . The following project as.u m , zoning, and doe. not require epecnio land use approval. Zonina L hif) _ [)ote~_ 97477,Ulhorlzed Signelure 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFPICE: 726-3759 1. LOCA;{ION OF INSTALLATION I{)~~ L\\m\nI.~n , LEGAL DESCRIPTION /N-eY.Z ..c:E:~/ '3' L>S9~ .JOB DESCRIPTION / 10'" rU ,.J\OI\-t, P.l.l1ffifl..J UJ/~ Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspeoded for 180 days. 2, CONTRACTOR INSTALLATION ONLY ,B, Electrical contractor.c...~c: 8fu>l\t;\,i.I \~. Address p,(), furl. 1J.!.2~ ' ~.I Cit Phone.1!lJ -:J..13 10 Supervisor L cense Number -1l-.5/ h S IO-I-qg Constr Contr. Number O::l5U4-Q q-I-qlo Expiration Date Expiration Date Signature of Supervising Electrician r22d~//LU'.-~ D O...ners Name-&,\rt ..,j~_,+YY\nruJ p~ . Address In33 ~IL (J' City~' "~Phone 11ft".:. '-tsq I , I mINER I "ALLATION The installation is being made on property I oyn ...hich is not intended for sale. lease or rent. Ovners Signature: --------------------------------------- DATE:, 15-/0/.% RECEIPT #: <::::?~~ RECEiVED BY:"" __ __:.. . '/l'V\ ELECTRICAL PERMIT APPLICATION City Job Number~/C:::>9C;- 3, COMPLETE FEE SCHEDULE BELOV A, Ne... Residential-Single or Multi-Family per dyelling unit. Service Included: It ems Cas t Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular, Dyelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 $ 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 nB" above Branch Circuits .' Ne.... Alteration or Extension Per Panel One Circuit Each Additional Circuit or ...ith Service or Feeder Permit $ 35.00 .'1:).00 $ 2,00 :l.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 Energy/Comm $ 36.00 5, SUBTOTAL OF ABOVE 3'1.00 5% State Surcharge \.9,,'5 3% Administrative Fee J. J I TOTAL ..-a9. <\ b