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HomeMy WebLinkAboutPermit Electrical 1995-6-21 . The following project zoning, and does not ~eq&l~bm?t~\.~,.J .1~i?{t!,C' to,'lowing approval. Ulfe:!ll, . '~.l ". ~.Qa Zoning LrY2- 225 FIITH STREET DtlJ.e~ ~2-I-C; ~ SPRINGFIELD, OREGON 97~7.7" i I INSPECTION REQUEST: 7~lj'_~~Sjgnature_ IV M OFFICE: 726-3759 . 1. LOCATION OF INSTALLATION C:-fJ '=? ~ 4~-<..?< 1JR, LEGAL DESCRIPTION ...Le1F:J'2- 102. 2.3 ~<'';l~ JOB DESCRIPTION S.,F. s:f1CS/oe;u,,-r.e, Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr, Number Expiration Date Signature of Supervising Electrician Ovners Name tut'tfa SyLLIAA:'lJia.l ( , Address "5~o4 (fi 5 r, City -r,N1.1?) , 724'-;2'1(,/ Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended {or sale, lease or rent. Ovners Signa tu~e: j<{~~. ~ ----;11---~----- ---------------------- D~~ /2/~~~ , RECEIPT #: (/?&:J '2-S' RECEIVED BY: _/.7'~~ ELE,~CAL PERMIT APPLICATION City Job Number 9so COC:::7> ..~ 3, COHPLETE FEE SCHEDULE BELOY A, Nev Residential-Single or Hulti-Family per dvelling unit. Service Included: 1000 sq, f t. or less t-- Each additional 500 sq. ft or portion thereof ~' Each Hanuf'd Home, or HodularDvelling Service or Feeder ,B, 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 It ems Cos t Sum $ 85.00 ss.- $ 15.00 7~6-0 . $ 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 - $ 40.00 201 amps to 400 amps $ 55,00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith 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 $ 40.00 $ 40.00 $ 20.00 $ 36.00 _L~t') ~ _ $J.OO ....(~- . rJ2,W