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HomeMy WebLinkAboutPermit Electrical 1995-11-22 "...--'- .-.....- The following project "" submltled has tho foil zoning, and does not require specific land use , approval. A n \ Zonino d#.J/2-..; 225 FIFTH STREET ' '. I "':'ci S ' SPRINGFIELD, OREGON 97477 Dote!, - ;:;)-.-c . INSPECTION REQUEST: 726-3A(iI/,ortzedSlgnature ~ OFFICE: 726-3759 ' I 3. COMPIJ:TE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLATION ~ \(AL..\Mlf\ ,:J:R..VUf)6(l...11~7f JEtl:f~IOND~), JOB DESCRIPTION .::::J> Po VI, ~h.)(~"" Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ," Electrical Contractor 5\~C) e..ec, Address' .(',0, fboj. I ,\--'6 . 11<\H,o'11 City ('BKT-e(t. Phone Cf~7''3'72. Supervisor License Number c-\-lR4- <:; 10-\ -9g 1 h 2..2.0 2.-\tt-qb Expiration Date Constr Contr. Number Expiration Date :i~~~ng Electrician . -.......J Ovne~s Name IMfLU'f\ 'tC\l-Ot,y~'melL Address i-\~O(o (A-LW\I~ Ci ty Cffi'yU) Phone O\INER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: , ,. ~~~~~-------------\'~~rJl<=;---------- RECEIPTli: 'v\,' l C'.l.LJ ~ RECEIVED BY: CJ\~ -lleV.---7 ELECTRICAL PERMIT APPLICATION I _ r.; ty lnh Number q ro I~Q,LV Items A. Nev Residential-Single or Multi-Family per dvelling unit, 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 C. $ 85,00 $ 15,00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300,00 $ 40.00 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 D. Branch Circui ts $ 40.00 $ 55.00 $ 80.00 volts see "B~ a~ove Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit t Each Additional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 ~~.-. $ 2.00 not included) $ 40.00 $ 40,00 $ 20.00 $ 36.00 &,cD t..,") I /'l~ ~ ','