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HomeMy WebLinkAboutPermit Electrical 1997-4-21 . ..... The following project as submitted hos tho following zoning, and does not require speciilc lund u~o approval. 225 FIFTH STREET . I ~,() ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ZOning L-.LJ \.......... 9 . INSPECTION REOUEST: 726T..~7369J..,J/?I!i1-4/Yl City Job Number 70303 OFPICE: 726-3759' . Authorized SI!jnature C:OHIiiITE.EEE SCIlEDULE DELOII ~Q.C@'I~OP ,Il;lliTALLATIQN . .:-,~ ~'7' .~4Z EJ...DtR.f)~ A. New Residential-Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION; Service Included: /R'IJ') O'+'..J. (){j300 Items Cost Sum JOB DESCRIPTION lOOO..sq. ft. or less $ 85.00 SDD + /ftDrrtJiZ.J Each addi tional 500 sq. ft or portion Permits are non-transferable and expire thereof $ 15.00 if work is not started within' 180 days Each Manuf'd Home. or of issuance or if "ork is suspended for Modular. 'Dwelling 180 days. Service or Feeder S 40.00 .B. 'Services or Feeders Installation, Alterations or Relocation: 2.' CONTRACTOR INSTALLATION ONLY Electrical contractor'Df4Y\ .f]eilrl~ Address /150 fuk~~ 4fz4, City r::/f/Y8Ie.. . J..one6ll/7~t./1.f s:i1S- . J f ,~ Supervisor License Number .:5k 1e;:5 Expiration Date /D-/-Cj'&' Constr ContI.'. Number . ~(ll14,4 ,/ ~-2:3-% q?- 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 S 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 Expiration Date f. Signature of Supervising Electrician '~DC '. Owner}JName [(0.haU:::>iJ /'0110 Address7'!~/2.- el~&~r91 ST Cit~a- Phone '72-c- . 'l?L-Lf<), 01lNER INSTALLATION D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above , " " New, Altc!,:'ation or Extension Per Panel 1 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Addi tional Circuit or "ith Service or Feeder Permit '\ The installation is being made on property I own "hieh is not intended for sale, lease or rent. E. Owners Signature: DATE~-~~-~~-~~-------------------- RECEIPT. .:r 1.1 '\ ::?K \e> RECEIVED BY:fl . lY161cAa..d 0 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL --1- $ 35.00 .<,C;::tIO " $ 2.00 !'6.2f) '. . ~ not included) . . $ 40.00 S 40.00 S 20.00 S 36.00' 1-/,1. ()?) 'Z..J.T /, 'i q C-{r-, ,qz:r- -. ,-