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HomeMy WebLinkAboutPermit Electrical 1995-8-23 -. - "f'he 'following pro/'. t b' " ;to ' d d c as su mi'!:tf'ld has tho ff'\I!f"w1ng fung, an oes no;t require "peei".... I"nd " ., . approval. \ .. .j....... ...~u 225 FIFTH STREET Zoning KAX)~ SPRINGFIELD, OREGON 87477 . C' /7~c.. INSPECTION REQUEST: "2f>-3~~J.I./ OFFICE: 726-3759 AuthoriZ"~Si9.-,atum~:;, 1. LOCATION OF INSTALLATION .L: ~5~~~r?X\ A. LEGAL DESCRIPTION, ,/?..e>~..~~/ 6-:<;;Ze>~ ...-;'}JOB DESCRIg;uON "72,-/' //~,;F~--:~-''''.,J;J ,!",/"AIIl -= "'-1Y- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Jl:t:WN ~Address I{<;'O gt(J.Ue;.Y H-m :#-2-1{ f,j'Vl.', I'" ,o:~.. . ,i\'"I' .f-1""I,!t~';~\;Il~; -;7 :~: cd'l~'F..() (~tN r. Phone ? Lf if-$' ::>'15 ",.' ,(", .~'I' .: I ;I-'! .~I'r' ',' 'SuP!!~'l'fsor License Number :~ /'llj~S "" '~&:',,:Z!:'. _ :Expi~~\ion Date ocJ '76 con~t~ Contro Number h;;f5"lt..( Expiratio~ Date ;;:;/~r 7,j' ~...:::??~ ~i~~ Of~ 'i"',i.,.. Owners ~me ..,. ~// S D. 'Address'7~ 4,~ _f~~- Ci ty ~e:Y,,<, Phone O~ ~STAL~;:::> The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ---------------------~-~-------------- DATE: ~,z 3/7 s.:- ' RECEIPT II:, ' '/2.?!f!t.t94 RECEIVED BY: ~p~~ AA -, ~ -,. / ELECTRICAL PERKIT APPLICATION City Job Number '7$'/::;>~ ~O~PIRTE FEE SCHEDULE BELOV I Ne~ Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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/volts Reconnect Only $ 50.00 c.-- $ 60.00 ~~ $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' '0'1' less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000-vorts $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits .' New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service $ ~. --.!? or Feeder Permit / 2.00 ~ 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 ...?::?-- 5% State Surcharge ~.~~, 3% Administrative Fee /. ~ TOTAL ..b.e:.. .9~