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HomeMy WebLinkAboutPermit Electrical 1996-2-28 :. . SPRINCf'IELO,.! '. ' " .. ' !., 1 zoning, end does not require spOCItlC Ion U .~. approval. . ~ Zonina IT\. \') (2...- ELECTRiCAL PERliIT' APPLICATION 97477 Dole '~J~<tlq,(p 726-3769 . \~ City Job Number 9 s-NV8 Authorized' Ignaturo ',' 3. C KPLETE FEE SCHEDULE BELOII A. Nell Residential-Single or Kulti~Family per dllelling uni to Service Included: Items Cost Sum 1000 sq. ft. or less I $ 85.00 ~~ Each additional 500 sq. ft or portion f?, ~ thereof, $ 15.00 120 Each Kanuf"d Home or Hodular Dwelling Service or Feeder $ 40.00 225 .FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFIc:E: 726-3759 I.' LOCATION OF INSTALLATION t.? t t. ('J (~__l/!!!tI'F J.,O , LEGAL DESCRIFTION '7~~~-Z'~" ~~ , JOB DESCRIPTION -'tV/it!: JVt:/AJ J.ldV(/'" ... . ".". .' Permits are non-transferable and exptre if work is not started'within 180 days ,'of issuance or if work is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor L,j,/, Mo/U!{s 1!:1ut. Address 4((,'1, sh" if ~ ~rfl, Ci ty_C;I'~I9' Phone 74-7", o'i;l , , Supervisor Licen.se Number 3Cr1J(.. - S Expiration Date P()-I- 9ft- Constr Contr. Number (;) /9~ l(" Expi'ration Da~e ./.:,- ,'?U. Signature of Supervising Eiectrician ,~ ~,~?, 'l8A:f14 ' .9\1llers Nllf'e ~/c~A~A~~ Address /yy'::? 4/4$!.?.-?? ~- City~~~/(/~ 'Phone~c;/~~ OIlNERINS;Ai:1-?r6r/,' . - . The, installation, is' being made 'on property.! Olln,lIhich is not intended for sale, 'lease or' ren t. ' .' . . 'OVners Signature: " , .... .. .' ...: .... . . .' :".. . DATE: 2-2~--:!!C RECEIPT, ll:~"'~ 7. ',.. ' RECEIVED BY: ' /2/~:?;'L. ,. " B. 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(vol ts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40-.00 C. Temporary Services or'peeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 or less to 400 amps to '600 amps amps"or 1000 D., Branch Ci~c~its $ 40.00 $ 55.00 $80.00 ,voJ.ts..see "B" above New, Alt'era don o'r' Extension Per Panel 'O~~ ci ~cui'~ :Each Addi tional ' , . Circuif'or lI,fth Ser.vice, , or'Peeder, 'Pe,rmi t " '.. h' .' . $ 35,00 $ 2.00 not included) E. ,Hi'scellaneous (Service/feeder -Each installation ~ump or, irrig~tioh' Sign/,Outlihe Lighting' 'LAmit~4,EneriY/Res Linii t,ei:L ~n~:rgy/Coml)l 5,. S,UBTOTAL OP"ABOVE 5%'State.Surcharge , , ,TOTf\L.',', " '. ~. .;. . ";... t',' . . + ?::PIo 'Mffi'\(\ ';e,;e~ $40.00 $ 40.00 ,$ ,20.00 $.'36;60 '205 ~ to ~s; , 1::.. IS' 22.1 4-0