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HomeMy WebLinkAboutPermit Electrical 1995-6-20 \, ,. . The.lollc""'lng project as submitted h.o th~ followin zoning. arid does not require specific land u~e 9 epproval. ' , ELECTRICAL PERMIT APPLICATION 97477 Zoning Lp I ,nr" f'l)nQ. 7t~~():::~~ ' City Job Number ~~~ tJ h13. A. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. ~tajF \~~~N ()~D N~"=~ !' Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTAL~TIO~ ONLY Electrical Contracl;od"\ QX\: ~ Address \\)\1) _t ~ ,}1o J City.f.)" 1)Q V\CL_ Phone '\~ '. \gfJ . \' v>~8 . \ll?Ct) SuperVlsor Llcense Number CI. 4c::;, "'- Expiration Date \ n. \ .q c.::) Constr Contr. Number \...0"3\ ?() Expiration Date \ ~ . a~' q.q " Signature of Supervising Electric~an '.~ ,6__,,,____ Ovners Name ~.f~~ Address~.... .~ ~liJ City ~hO~~\l\0N.- \ The installation is 'being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: --------------------~- ---------------- DATE: (;,/2~ J'.F RECEIPT #: ' j75'L; 7 ' DurL'TtlJ;'n flY. E~' COMPLETE FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dvelling Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or .' Modular'Dvelling ... ,." Service or Feeder 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 . unit. It ems Cost 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 volts D. Branch Circuits " $ 40.00 $ 55.00 $ 80.00 see "B" above " Nev, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 2.00 not included) 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 40.00 40.00 20.00 $ $ $ ~ ~