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HomeMy WebLinkAboutPermit Electrical 1996-8-19 . . zoning, and does not require specific land use approval. Zoning L l:>rl7 DBlalLlCJ . qJi 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 7 Authorized SlgnBlure 9 477 726-3769 1. LOCATION OF INSTALLATION ~("ffJ, C;LAC/b?g~. LEGAL DESCRIPTION J~C92 e; 2- "7? o3'7trD JOB DESCRIPTION ~D ~/J)..d.!K ~ ."'-,t:/f. Permits are non-transferable and expire if york is not started yithin 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 Oyners Name ~~''1/ (l'A--IE Address Ci ty Phone 7~- If2f OVNER INSTALLATION The installation is being made on property I oyn yhich is not intended for sale, lease or rent. /\ o~r~A~ ~AT~~-__L____~~~~~-------------- RECEIPT 1I: '2 ? ..-.5' J ./i'o- RECEIVED BY: -t::(/~ ELECTRICAL PERMIT APPLICATION City Job Number 7'~O!/~ 3. COMPLETE FEE SCHEDULE BELOY -x\t\ A. Ney Residential-Single or Multi-Family per dye1ling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home,'or Modular 'Dyelling 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 uni t. Cost 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' 'or less V- $ 40.00 LiAf'<:J 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 Ney, Alteration or Extension Per Panel One Circuit Each Additional Circuit or yith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 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 ~:: /,-LfJ .A ~ _2..0 1'-" '