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HomeMy WebLinkAboutPermit Electrical 1996-1-29 . ., --~. .t,~, SPRINGFIELD The following pr~ect as submitte . ~Q.5 n I , 9 "nd do"'" not require specific land us ZOflln ,Q "'... approval. 225 FIFTH STREET L D R SPRINGFIElD. OREGON 97477. , Zonina , INSPECTION REQUEST: 726-37~1. \ - ~q-'1 &, City Job Number q &; () ( f ~ OFFICE: 726-3759 _ S 0, .., Authorized SIgnature ~. ,,4-;', .....<. ~ EE SCHEDULE BELOII '"" ~ t, Cost 1. LOCATION OF INSTALLATION 4.:;; I K A-Lm J A- ..sTEEQ" I^O~ALd.~CRI~~ Q 4!;mJ Jt JOB DESCRIPTION 71IPrem J rJ,s,'ffiLL Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. ELECTRICAL PERMIT APPLICATION A_ Ney Residential-Single or Multi-Family per dyelling Service Included: It ems Sum 1000 sq.ft. or less Each additional 500 sq. it or portion thereof Each Manuf'd Home or Modular Dyelling Service or Feeder $ 85.00 $ 15.00 $ 40,00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Elec trical Con trac tor ADT Secur-t ,",r ~v~tems or Reloca tico: Address 1501 Pearl Street,~itp R Ci ty Eu~ene. OR Phone ~Id - 'A ?-1..1l.3. Supervisor License Number RI777.JJF Expiration Date 10101/96 Constr Contr. Number 59944 Expiration Date 04/?Q/Qn Signature of Supervising Electrician' 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 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 " C. Temporary Services or'Feeders Installation, Alteration or Relocation c;l J,J,e >cL...h- D. ers NameMI2.~Q1e_,,- G <= eMf\ M,L1~ Address L!.-:<,f)/ 'k'ALrn J 1+ .s~Et=l.:..... Ci ,~, rd:::J::; E:.lJl.Qg,Jhone.5!:l:J ,74-7. MDL}- 1TN1! 01lNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~fH-l~-;i;~~----------- RECEIVED BY~'l'(~ ~ 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see tlB" above .' Ney, Alteration or Extension Per Panel OnE (;ircuit Each ..d<litional Circuit or with Service or Feeder Permit S 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res 1 $ 20.00 ~ Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 20.0(1 1.00 .60 ?1 '5.(l