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HomeMy WebLinkAboutPermit Electrical 1998-3-19 . S.GFIELD a fol/owing p ,/ zoning and roJect as submitted approv~,. does not require SPElCiflhas, the fol/oWl , c and use Zoning La. ( Data 3/~ . ' 225 FIFTH STREET . l" ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974191honzed Sig 8iure_ 'f) (Vl INSPECTION REQUEST: 726-3769 ~ Ci ty Job Number 4~'3~ t=,; OFFICE: 726-3759 ' - 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION -?'7 ~S- Z/..A1/~Y:.. .#</~e> - - - , A. New Residential-Single or Multi-Family per dwelling uni t. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular'Dwelling tJ,---' Service or Feeaer $ 40.00 0/' LEGAL DESCRIPTION /,?'It>:l-3~''''';;'~. ~/3~c:> , JOB DESCRIPTION t~ ~ _~~.-r~_Af ~F~ 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 ONLYB. Electrical Contractor ~~ ~ / . 7~ d: -' 1.--' Ser~ices or Feeders Installation, Alterations or Relocation: (o'!-z- Ci ty ~..J:L Supervisor License Address 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 Phone TZrr .-(r;60 '1<(5 - oS (Z(9g' 63):57 rsB /z(9g Number Expiration Date C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Contr. Number 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 Expiration Date Signat~viSin owners' Name~M~~ 4~./~./ Address ~~~ ~~~. ~/"':2P Ci ty ~7~Z;> Phone '7~-e:>~ . OVNER INSTALLATION Branch Circuits , ,. D. New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 The installation is beiDg made on property I own which is not intended for sale, lease or rent. 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 Owners Signature: --------------------------------------- 5. SUBTOTAL OF ABOVE 5%,::..State Surcharge .j%Y.Admini~~rative Fee """. . TOTAL .. t/ tP. -II' , ,;;-~ 7, - /. ::2.~ ~-:2&> , . DATE: ~.../9$S RECEIPT.: ~~<5C RECEIVED' BY: or. '-fjA;:!~ .,.-"