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HomeMy WebLinkAboutPermit Electrical 1996-11-25 ,e The followina proiect as submitted has t!"la folio'..,-in zoning, and does' not require $p~ific land lIOO approval. Zoning Ln /2.... 9e.t /1-)\'-4<- 974 ," T 726~ Slgnatur. rJ M 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION~F~~~TION tI(g~1o h ,I I~GAL DESCRIPTION O:J.rE17 fJCf ()fj-() JO~CRIPTION Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor ~f\ l~tJ\A~ flor)t Address---1!L~~ 0 P{\~\ \\\\"1\ . City S "U~ Phone ~~ Supervisor license Number ~{)~ . \\\. \. Constr Contr. Number \\IJ...~_ n'~' Expiration Date Expiration Date Signature of Supervising Electrician a~~~r~~ . oY~ameJlnctw Inf -/ ~ Address 'elf f2cl City Phon?~lfhcf The installation is being made on property I oYn yhich is not intended for sale, lease or rent. Oyners Signature: ---------r----------------------------- DATE: I -~ft RECEIPT #: 3 I RECEIVED BY: U ' ------.. 3. E~CTRICAL PERMIT 2l)~A:I~N / . -:.~ Job Numb,;,r ~~ COMPLETE FEE SCHEDULE BELOII q fa! it f( h Ney Residential-Single or Multi-Family per dyelling unit. Service Included: A. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dyelling Service or Feeder X /('$ 15.00 ~ Cos t Sum $ 85.00 ?J; $ 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 $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Ci rcui ts Ney, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 I (ff) OD . i:aU 1O~.0'1J SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL