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HomeMy WebLinkAboutPermit Electrical 1995-6-6 . . SPRINGFIELD Tho. following project as submttted has the foHI zonmg, and does not require specific land use approval. 225 FIFTH STREET i r-.. () SPRINGFIELD, OREGON 97477 Zoninn ~~ INSPECTION REQUEST: 726-'.lHJB.Jp -(J -'\-.., OFFICE: 726-3759 - - f.uthortzed Signature 1\1 ""^ C:OMPLETE FEE SCHEDULE BELOll 1. Leb~~ I!i{fl\LA~ I~~~M~N (1\ClCD ~~ ~~r:ION 411 'L Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if work is suspended for' 180 days. City Job Number ELECTRICAL PERMIT APPLICATION q r:s:fL~~ A. Nev Residential-Single or Multi-Family per dvelling unit. . Service Included: Items Cost Sum 1000 sq. ft. or less l $ 85.00, as Each additional 500 sq. ft or portion ~ m. thereof $ 15.00 Each Manuf'd Home or Modular,'Dvelling' Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION'ONLY B. Electrical contract~~ \A.Qffi <r12d Addressm ~ \ ~ro.\.t"Q.. , Cityl(... Til\O - Phone.~CO.CA~a ,supervisor icense Number ,f;f\ 1\ f)~ Expiration Date \0. \. C\~ Constr Contr. Number r'f\2..C\lo Expiration Date \ ~ . \0 .CJI\. Signature of Sup~sing Electrician (V ~~, ~vfi!V7~iJ Ovners Name V(\ ,ev Addr~ss '\)n ~"/... 3~ City'~(l~\l.~' Phone .' ". 'i~ OllNER,INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: ~:-:;~----(J:-:~1)O;~ RECEIVED BY: \.. ' v 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 Reconn,!,ct Only $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 not included) Mi~cellaneous (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 $ $ $ $ dYCf6J:D {U.~ , lp. I~ c9~' .-r(J 40.00 40.00 20.00 36.00