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HomeMy WebLinkAboutPermit Electrical 1996-1-31 (2) The fe!!ol/ling r>r!Jif,ct 03 l';u,t.mii.ied, ~n:; 1h9 follc'Nln... zoning, and dous net mqwie specIfic h;md usa approval.. J 1112-- Zomng d..R\ / 9747[!otc 1-5/-'1 &_ ..II 726A~~~e<l SlgnntJ(._~V 3. . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LO~ATION O~ INSTALLATION 'J-~.$~ uRA-tJ'O UI~fA LEGAL DESCRIPTION /7c:>'2, ?~ /t7~ AE>7tfJ,<'- JOB DESCRIPTION <)Ui'O'"7 'i'J~f""", 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 Electrical contractor.f}jJA fj./4b--. Address II,-PII,^lff'S. '\T Ci ty t:.JGe.A.L PhoneJij 6 /g~ VJ Supervisor License Number 77/. oLE /6-(-Qt., )") r 9 :L hi'!? Expiration Date Constr Contr. Number Expiration Date Signat~1 QOf tJ~ E~ectrician Owners Na:e "''fileuf f),M.!oJ Address lS)~ ~l~ 01) /;/1 c:; I P/:; City Phone 7C(7)IJ( OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ; )>f"~/ Ovn~f ~._- --~-=-~===----------------------------- DATE:_ ~10O<m o,llJ RECEIPT jI: ?-P~?'1 RECEIVED BY: U7rr.. J.,( fJ7rIJL- ELECTRICAL PERMIT APPLICATION City_Job Number 95rJ&.S4 COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular Dwelling Service or Feeder $ 40.00 ,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 $ 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 volts $ 40.00 $ 55.00 $ 80.00 see "B" ali'OVe" D. Branch Circui ts New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~O .ErD I.OV , (,0 -at, (pO d.-Zl SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL