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HomeMy WebLinkAboutPermit Electrical 1995-10-13 ri . . The following project as su m.5 ,as e 0 0 zoning, and does not require specific land use approvaL 225 FIFTH STREET Zonina ()L () SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726.QJUQ id12./.!15 OFFICE: 726-3759 Authorized Signature_ 1. LOCATION OF INSTALLATION 20"5 DoRRI-. srf?ar LEGAL DESCRIPTION I~IJ<. ('))_ on t':)/)~2.. JOB DESCRIPTION 'P/lu ~~ 16 B..ffcr'/Z. II" .r. rrE Permits are non-transferable and expire if ~ork 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 Supervis'or License Number 411.)2:0: S ExpIration Date /n-/-9,R Cons tr Con t r. Number IV /-A Expiration Date tu/A Signature of Supervising Electrician ~D,~d Owners Name) ,,:/h.^^,,{Ll"''' (:?,~k- I\JSH/I1T Address~o ^ ,. 34,-H Ci tyS:fR.i..:r-:C/"'O'\ Phone2..2A-4'30- OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~AYJ1~4 V ,13~j/ ----------------------~-- ------------- DATE: /8'//' 'j'S RECEIPT 11: { 19~ ?> 4- RECEIVED BY: ..v-P' ~ -<t ELECTRICAL PERMIT APPLICATION City Job Number C;51~S/ .of l-Ul'lrLr.lr. ru SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see tlB" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 35:00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. >9"iS:DO /.75 (,05 'if' ~7.Bi') SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL