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HomeMy WebLinkAboutPermit Electrical 1996-9-12 The,loliowing project as oubmllled has the foltowl z:m:ng, and docs not require specific land use ap;:.r-:,va.1. ' Zoning U 1?5L- 225 FlITH STREET Dme Cj , \ 0 '1/1.11 ,__ 1\ SPRINGFIELD. OREGON 974 nuthorlzed Slgnotu... '71Y I INSPECTION REQUEST:' 726-3769 OFFICE: 726-3759 ' \ I::},(\LqCA'!20N OF INSTALLATION ~ ~ t?"--~~LL""-./ eo,...,'.? , \,()~"tJ{\~I'f~~VJ-yxJ , J9B 'DESCRIPTJjlN r-- d-~>~ C ..,.?-<<<.. :>....r;-tf"7 ( Permits are non-transferable and expire if work is not started within 180 days of ,issuance or,if work is suspended for 180 days, Expiration' Date 7 t:f ijJ? I /17 / r / ~.L.. Supervisor License Number Constr Contr. Number f? 0 '? iJ,...., ~/,//~?' Expiration Date Signature' of SupervIsing Electrician , ..- ~.~ ----..:... , ,Owners Name r7 /~(' ~;j """,cJ ,D. Addre~s 'AA~ (1:1 \ \J\~ ~ W Ci ty fJ. 'X}9f'Jl,~ Phone ~'1?Uocr OVNER I~ALLATION ' , The installation is being made on property I own which js no't intended 'for s~le. lease or rent, Ovners Signature: ~~TE~------~--q-T(yq-t/)---~'\t\ ' RECEIPT II: ' ' A.-/' _ ~ )\lr , RECEIVED BY: U (J\L'_ ' " ELECTRICAL PERMIT'APPLICATION' , 1-' Lj Job Number C\ ~rfJ~3 3. COMPLETE FEE 'SCHEDULE BELOV New' Residential-Single or Multi-Family per dwelling lmi t, Service Included: . Items Cost A, ,1000 sq,ft, or less Each additional 500 sq, ft or portion thereof Each Manuf'd Home:or Modular'Dvelling Service or Feeder Sum $ 85,00, $ 15.00 $ 40,00 $ 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 , , Branch Circuits volts $ 40.00 $ 55,00 $ 80.00 see "BIt above 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders ~ Installation, Alterations Electrical Co~tr'actor ~.e:..A', ..-~".;: ~ or Relocation: Address /'2 oz;. '/""...v' S:-...-:- ,200 amps. or less , ' :' 201 amps to' 400 'amps Ci ty .,e: c /...~ Phone '< <V' J rC6;--4'Ol amps, to. 600, amps 601 'amps 'to 1000 amps Over 1000 amps/volts ,Reconnect Only ." New, Alteration or Extension Per ,Panel $ 35,00 One Circuit Each Additional Circuit or vith Service .or Feeder Permit , " $ 2,00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res : Limited Energy/Comm E, 5. SUBTOTAL OF ABOVE 5% State Surcharge 3%,Administrative Fee TOTAL' , ' not inc~uded,) ,'$ 40;00 , $.40.00 $ 20.00 $ 36,00 , ./ ;;6 ~ ,/ ,.r-...c;.. r.'{),?< -:2 C"/ ~r/, ,,/o.oD'