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HomeMy WebLinkAboutPermit Electrical 1996-4-8 . .,. "'....IVI'vnl' ro,act as iU mttta has the feli zOning, and does not rogulr. speclflc lond UG< approvol. . Zoninq (ll!./ 001''( -'IS -CUe 97477 Authorized Signature 1)1() 726-3769 ' 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 LOCATION OF~STALLATION ?'44~ r~.,tJ -- . ~ , ,. LEGAL DESCRIPTION /7" 2, 2. 2.. '2..t'? ~~3 JOB DESCRIPTION ~~ 1. 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. ....._,,'_~~ ~~ .#~c. , . Address P,LJ~ ~ a~/~h City~77".AVd Phone~ -~7Z2.. '772.'f!>L Supervisor License Number Expiration Date Constr Contr. Number &-,."? /O~ Expiration Date '//6/5'? Signat~e of ~upervising V~r _ . - /' <-----\ ('\ Owners Name ~t"--A- A. ) 1 Electrician ;A. Address City Phone 7#!-'~~4f OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~--------~~;I'J'~----------------- RECEtPT jj: 21 C7I'? \' RECEIVED BY: d~ ELECTRICAL PERMIT APPLICATION City Job Number 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: q~t9 Z2-J Sum Items Cost $ 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 $ 40.00 4.rJ~O $ 55.00 $ 80.00 see nBn above " New, Alteration or Extension Per Panel $ 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 $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 4ofO 5% State Surcharge ' ':2.. c>(') 3% Administrative Fee /....0 TOTAL -r- 3 ~ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. .Dwelling Service or Feeder 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 200 amps' 'ox less ~. 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100u volts D. Branch Circuits One Circuit Each Additional Circuit or with Service or Feeder Permit