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HomeMy WebLinkAboutPermit Electrical 1994-7-18 -. 1 !.- _.'. .,....oJ.. , .. . ..! '\'lI,lbl\bW\^/l pIC I require apeclfto land IIG8 toning, and does no approval. I i1 225 FIFTH STREET Zoning '-tJ& - ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 . 10 At a ,J/Ot:1rf INSPECTION REQUEST: 726-~ '7--- - (I f'I\.. City ~b Number 7~ OFFICE: 726-3759 Authori1edSlgn8lllte- 3. COMPLETE FEE SCHEDULE BELOY 1. LOCATION OF INSTALLA~~ 33119 C;;-AP.~j ...DR, . . t<ffJM~oroq(Y) J'~~JTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~J)~J ~~/,I~I~ Address l:t .0; IA) ? @ -s' City...L:l:::l k'Di?~ Phone-p?.,-.:l~ Supervisor License Number / tJ tJ t.s Expiration Date~-; - ~'\- Constr Contr. Number h' 7 y~"'" , - Expiration Date q-~-P ~ Signature of superV~'Si Electr~an t:?D-c~- _ ---~ Owners Nam.ccnL, Q.~p A-o Addres/3QQ So/;Z'lJ'\d City ~~h-on-:W.b~ 01lNER IrkJr.LATION . I. The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~ATE~~-----~--~--~~I'~~~~--=----- RECEIPT II: ).",.A A _ It "'V\................,. RECEIVED B~ A' ./ J \ ~ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling 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 Items I JJ-$ Cost Sum 8S 3:1 $ 85.00 15.00 $ 40.00 $ 50.00 $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see fiB" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 (0