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HomeMy WebLinkAboutPermit Electrical 1996-6-5 . .,/ SPRIN<....F'IELD . ' The following project 89 submitted has the folio zoning, and does not require specific land use epprovel. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Zonlna W \ Dote W'f?:C{fo 97477 Authorlzed Signature 726-3769 1. LOCATION OF ,INSTALLATION ~-i.41 .Jf/<rrn.v Ld4/ .LEGAL DESCRIPTION { J'7n~ 22.. 2..0 0.0803 ~r:'/9b iG--6 rC/~, :z Gl ELECTRICAL PERMIT APPLICATION ttW\ City Job Number 3. COMPLETE FEE SCHEDULE BELOY 9~022 '? A. Ney Residential-Single or Multi-Family per dyelling unit. Service Included: 2. CONTRACTOR INSTALLATION ONLY .B, Services or Feeders ~ I Installation, Alterations Electrical Contractor /..;1t:k'cv /:;;6 Pre or Relocation: Address ~OO N,/P-tfC Ol"cl f dJ 200 amps or less ;;:r. ~/". /} . 201 amps to 400 amps Ci ty ~.Pf-I/Vi /If?joV Phone O~ € 7;'-<>?C??40l amps to. 600 amps ~ 601 amps to 1000 amps Supervisor License Number ~~-S Over 1000 amps/volts Iv / / / q ~ Reconnec t Only Expiration Date / r / aT Constr Contr, Number ~Od-<.CJO-C ~ ./ / , ~~L Expiration Date ~~Z /' ~ i'/-+?> . , / Signature f Supervising Electrician ~~ ./ /./' /Oyners Nam~ ~Crl-A') 8 r~~ Address JOB DESCRIPTION hl61 /' n:-L7 ,. ~~~.A Permits are non-transferable and expire if work is not started yithin 180 days of issuance or if work is suspended for 180 days. Ci ty Phone ?4C; - st;~ OYNER INSTALLATION The installation is being made on property I oyn yhich is not intended for sale, lease or rent. Owners Signature: --------------~~~-~------------------ DATE: ~( '3/, _,~ RECEIPT II:. ~~7 RECEIVED BY: ~ 1000 sq,ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular .Dyelling Service or Feeder I terns Cos t 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' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100u volts D. Branch Circui ts ....1.=: $ 40.00 $ 55.00 $ 80.00 see "B" $:2r above .' Ney, Alteration or Extension Per Panel One Circuit Each Additional Circuit or yith Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ /e:J~ , 2,.00 /.~ ~3..u> 40.00 40.00 20.00 36.00