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HomeMy WebLinkAboutPermit Electrical 1995-9-14 The. following project as submitted has the zonmg. and doef> not require spClcific lend use approval. Zoning c/;[)/<J Oil!e 1-ltf-q5 ..a:p 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769uthorized Signeture OFFICE: 726-3759 . 1[0 *~O~ frSTALLATION / A""2i1-":8'Jt~N 0 &5 iJlJ . ~DESCRIFTION /l tee ...~P.Ll.fl~"" S(..:>(1AA. hW' Permits are no~-transferable a~d expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ELECTRICAL PERMIT APPLICATION City Job Number q 50 4 <f V 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cost 1000 sq.ft. or less Each additional 500 sq, ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders ~. ~/O~ c- ~j~rf.n~nstallation, Alterations Electrica~ Co~tractor(_(~k'~ /iV~~v~JYor Relocation: Address 4;)-/5 0l11CCtAd . 200 amps or less ~ . . ,C 201 amps to 400 amps City . '/J/tl_ _ Phone [QgcJ-47bJ 401 amps to 600 amps 7QU If r 601 amps to 1000 amps Supervisor License Number ~ ~ Over 1000 amps/volts ,:2Jr;L: Reconnect Only Expiration Date _.J/"71D Constr Contr. Number 5SQOQ Expiration Date c3/Cj((;J Signature of Supervising Electrician CP(1)/1 C ~W{Ji1 Qwners Name I Pr/VJ ~ ~ Address Lf.:il S U;U ('o..U?f Ci ty Pi .{()1/~ Phone-.fi.(.fU-;);)7 / O~INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~E~-~~;r~~.::~----------------- RECEIPT it:. <:J/Y 01 '( RECEIVED BY: ,ua-vl evy- $ 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 "B" above " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res I $ 20,00 ;LQ.cXJ Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 2.0. (Jl) 5% State Surcharge I ' ~ 3% Administrative Fee . (pU TOTAL .? I - tP ()