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HomeMy WebLinkAboutPermit Electrical 1996-6-14 . .' The following project es submitted has the zoning, end does not require specnlc land use approval. . Zonina r, 0 Da1aJf.( LJ' q {c 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-376Qrthorlzed Signature OFFICE: 726-3759 1. LOCATION OF INSTALLATION ~ (p \{.=., D..&...-t:h.-......., Wo.-u/ I LEGAL DESCRIPTION 1./-0 '"3 ~-:;)?-.Ar' G ago~. JOB DESCRIPTION f~,~~ (OU.Jd'Ja - Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2, CONTRACTOR INSTALLATION ONLY Electrical Contractor L-o---ck", '7-~'ii\;A::....-- Address ';? g-q,fr-() Ci ty <;;Z~ rY\-~AtL Phone'f1l;t c:, - qg~7 Number' ,~~J 9 ~ \ f),\ .qC{ - Supervisor License Expiration Date Constr Contr, Number ,YG ~'SO Expiration Date Lf- ?--IJ.., Supervising Electrician .4'/#J g 'i. ('~ (3. Ce~ ~ 'to -> ~4, U ,.Q.W LI1 I City 51~L O.rV Phone '7l{{,T }'t[tUo( q-Zl./..7, OVNER INSTALLATION Signature of ~ / Ovners Name Address The installation is being made on property I ovn which is not intended for sale, lease or rent. Owners Signature: DATE~~-----------~------to~71~Lf~----- ~g:~~D #~y: ~ (fjQ../ ~ \ ~;) - ~ City Job Number ELECTRICAL PERMIT APPLICATION q ( o01.2.-~ 3. COMPLETE FEE SCHEDULE BELOII A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 1000 sq,ft. or less Each additional 500 sq. it or portion thereof Each Manuf'd Home, or Modular .Dvelling Service or Feeder .B, Services or Feeders Installation, Alterations or Relocation: I terns Cos t Sum 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 $ 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 I $ 40.00 -<i(~ . . 201 amps to 400 amps $ 55,00 Over 401 to 600 amps $ 80,00 Over 600 amps or 100U volts see "B" above D. Branch Circuits . Nev, 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 vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35,00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36,00 4(\~ 1.VL/ -!:::f .~~iJ --