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HomeMy WebLinkAboutPermit Electrical 1995-2-23 '!' ~. :51"1=l.,\~LO.. .~. ..~, --~.""...-- . :~~~ The following projei:t 80 submitfedhas Ih zoning, and does not require specific land approval. "~ Zonina GO 225 FIFTH STREET ";, ELECTRICAL PERMIT APPLICATION SPRINGFIELD OREGON 97477 Dele? r1 '2.--4, q INSPECTION REQUEST: 726-3769 AUI~iz.; ~9nalure~ Ci tv .~umber. 4 (4 J ..:s OFFICE: 726-3759 . . 3. COMPLETE FEE SCHEDULE BELOI/ 1f~!,erf5nt OF r:J:orey I r 6~ lf~PfI~ () / 7(/ j) <"f"")VJOB, PESCRlfTION" ~_ 1:./( a)( p)--. (,-JI J\R 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 5neeL:::> St:>//bO Address Po _ .&>-1- ZL::>'Y'7 Ci ty ~~€> Phone ':::;;86 -/65f/' Supervisor License Number RI5RfET Expiration Date /C:;~/ /9,e, Constr Contr. Number ~8// Expiration Date 3/Z-j/'7-"S S1,"~~:';~.O"iOi" Ovners Name /?#L r $H B!::C:::> Address PL). ~)- Zc>9~ Ci ty eu'~ Phone b86 -/6"-Sf' OI/NER INSTALLATION The'installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: " q:.r-= ' ~~~~~kE~ (~?~-~------------ RECEIVED B'k-{ 1~ fjc ,I . ---', , -J ,'- ~. v - A. Nev Residential-Single or Multi-Family per dvelling Service Included: Items 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 uni t. Cost Sum $ 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 100u volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res / $ 20.00 "ZL>.w Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL -zL>. (>() /.OD ,';;'0 -Zl. ?'O