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HomeMy WebLinkAboutPermit Electrical 1994-8-19 I I Tho following projoct e. submitted has tho follow zoning. and dODS not require specific land use 225 FIFTH STREET approvol, ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 LOJt. INSPECTION REQUEST: 726-3769. Zonlnl' OFFICE: 726-3759 D81oc....l~-'lc.j n).; 1. LOCATION /42,e;- OF INSTALLA~ril:ed Signature LArwA )A?~4e LEGAL DESCRIPTION / '71'1'" :z ..::- 2... "2.- . - /??~ JOB DESCRIPTION ()/A//n-.c; ~ 141)~<77lUtJ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ' 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name / ?;c:/;;:' .c:::a..~~/~, Address /~:a.9 / .Ll.yovA,JA/()4r. Ci ty <\,-d,;-j Phone1..,tt, -~~7 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. \ A. City Job Number 9~/ t!J!f;10 COMPLETE FEE SCHEDULE BELO\l ~ New Residential-Single or Multi-Family per dwelling unit. Service Included: It ems Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or ~odular Dwelling Service or Feeder. '$ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 "B" above D. Branch Circuits E. New, Alteration or Extension Per Panel One Circuit ~ $ 35.00 ~~ Each Additional Circuit or with 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 $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL '3 7. tnJ 1..6,) /,/f '::2,*'i'~ ..".