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HomeMy WebLinkAboutPermit Electrical 1996-2-26 Tho following projocl os submitted has the Ionowl zonin't.i, and does not require apectflc land uoe opproval. .....D Zoning-----<d ,~R-~ 225 FIFTH STREET' .'A :2l~ SPRINGFIELD, OREGON 974.7f.IO~\ --D INSPECTION REQUEST: 726...37.69iznd Signa urn. S. \ OFFICE:' 726-3759' 1. LOCATJO~ 9P INSTALLATION /72.D~ hb u:.., <: r , / ;. LEGAL DESCRIPTION I~n') 1J2 2</ <!Ja 5Q"1:) JOB DESCRIPTION /9 J L f S".,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 ONLY .B. Electrical Contractor \J0\lv ~ fleSJi!.\c. Address fD. ~D:t '1~g<;, Ci ty fll'leiVl '11~()1 Phone 'l''3 ~ ~ S"30 1 . Supervisor License Number ~glq) Expiration Date 10-1-'1S' Constr Contr. Number 'lq 5'"IQ Expiration Date C - 20 - <II; Signature of Supervising Electrician \)__ -B-: Owners Name Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT 11: RECEIVED BY: i.., ..," ELECTRICAL PERKIT APPLICATION "'~LY Job Number 9 .)/ 'J'4"5' . . , 3. COMPLETE PEE SCHEDULE BELOIl A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items' Cost Sum 1000 sq.ft. or less i- $ 85.00 ~ Each additional 500 sq. ft or portion )0 thereof -:7 $ 15.00 Each Manuf'd Home. or Modular. Dwelling Service or Feeder $ 40.00 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts ..''''' - D. Branch Circuits 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 S 50.00 $ 60.00 $100.00 5130.00 $300.00 $ 40.00; C. Temporary Services or Feeders Installation, Alteration or Relocation ',' . ~ $ 40.00 $ 55.00 $ 80.00 see "B" ~8f) above New, Alteration or Extension Per Panel " Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ",'::'{:.:.:.,."'. $ 35.00 $ 2.00 no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 /~'f)..- 7.7,r "'" .ifLC /'- ?,~/l_