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HomeMy WebLinkAboutPermit Electrical 1996-7-2 SP.~FI~LO , following project a$ submittad has the foil "I,,;, and dOGS not require specific land use a;jpro\'ul. Zonina I oJ t2SV [;",./}'1, . qll 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFPICE: 726-3759 97477 Aumorlzed Slgnatur. 726-3769 14-iO\TI~ ~T~LATIOtz.f) LEGAL DESCRIPTION l <l O~ n5 ffix) d.. 5()Z) ( ~\-RViEW.~~\pnl~O .~ 0~\" !J .' lU Permits are non-transferable and expl e if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractord201V \k..1Il'j f/l'dl/)'c Address ~O' BOl< 9.';)';). () I Ci ty i...oeVl e "1;>'/0,:,) Phone G<{3 'ES3 73 Supervisor License Number 3c:r,'J. </;; Expiration Date (C/-r5 Constr Contr. Number 959/0 Expiration Date 5/o;~ Signature of Supervising Electrician fA)~ A.~~. Ovners Name Iln~ ~o.n cddCn Address 4k6/ Ja..SlJll) R..;;), l Ci ty ~t2- Phone 7C-j{# - 47<.3 'j -/ OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ~j';i:i:;;~~~~--- ~ ELECTRICAL PERMIT APPLICATION City Job Numberq(PO X /3 "0;' * 3. COMPLETE FEE SCHEDULE BELOY A. Nev Residential-Single or Multi-Family per dvelling Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq, ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular 'Dvelling Service or Feeder $ 40.00 ',B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 60, <n> $ 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 $ 40.00 $ 55.00 $ 80.00 see "Btt above D. Branch Circuits .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Servic~ or Feeder Permit /U $ 35.00 _"l", , (J7J $ 2 . 00 c;>"-J E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ $ $ $ cJi 70, {JO ~,~ '7~-.(~ 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL