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HomeMy WebLinkAboutPermit Electrical 1996-7-2 . . The following project as oubmittad has the f zoning. and does not require specific land u approval. <;"\ A ^ ^ Zoning WVV '- Dale 1 '1.' q II ~ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 Authorlzad Signature INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION {8h.1 !AuJZ.A IfJX11J1frsyrPEfMm ]#hOB ~Th{f~ -4: \.6ub~ are non-transferable and expire "ork is not started "ithin l80",days of issuance or if "ork is suspended 'for 180 days. ' 2. CONTRACTOR INSTALLATION ONLY B. Electrical contractor_k <;" .t-L&''r'/Z/{'_ Add ress P. D .611)C .:L'1 '1 ~'1 . City </!v-J"-- Phone hRf:,-br'2,l,.... Supervisor License Number '1 'I'L, S Expiration Date /(J-!-q"X, Constr Conn. Number C:~B '7/JB2.O, Expiration Date I ~ -;;)7 ..ql# Signature of SuperJfsi~ ;lectrician f . '- ---f) /U- . ) "Owners NameL'1N~-rr€ fA~JJr Address I:Jt.A lGutrL. ~~ Ci ty1)fo..,A-t'~/?~7J Phone21/~. 'i'15'8 OVNER INSTALLATION The installation is being made on property I o"n 'which is not intended for sale, lease or rent. Owners Signature: DA~E~----------T\-l~tJl~-------=;--~ 5. RECEIPT #: ~ ~rx:; RECEIVED BY: ~' ~.. 1'v1 ELECTRICAL PERMIT APPLICATION 3. t;l ty .loll Number C3i,t> '71:> ~ ~ COMPLETE FEE SCHEDULE BELOII. *: New Residential-Single or Multi-Family per dwelling unIt. Service Included: A. 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 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 00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see ItB" above D. Branch Circuits " New, Alteration or Extension Per Panel One Circuit ~ $ 35.00 ~ Each Additional Circuit or "ith servicp) 10 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 SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ~~. oc<> --=? Qr6' /.8<= .f.: L/. 15 C>