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HomeMy WebLinkAboutPermit Electrical 1995-1-10 ,; .' - The following project lIS submitted has the folio,",;n . 225 FIFTH STREET zoning, and does not require specnic lend BilE<:TruCAL PERMIT APPLICATION approval. SPRINGFIELD, OREGON 97477 'De.- nA '..,'11 . INSPEctION REQUEST: 726-3769 Zoninp l.; 'City Job Number -'TI.11.~ OFFICE: 726-3759 Dele 1..-/0 - Q r:; , 3. 1. *~fON OF IN~AL{.AT~~Sl\lj!8l...ure-l1Lq~ r\I.~~O l f'\ \ \'W"'\. l },.J \G t I '() , , LEG~ DESCRIPTION A \In~ 'b.lY\{)la. C\ JOB D~PTIQN N ~~.c: ~ n\r.l 0 nru J ..~~~ l 0 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. CONTRAcrOR INSTALLATION ONLY , Electrical Contractor J8 Electric Address 1786 Sa 1 boa Street Ci ty Eoaene Phone 687-5770 Supervisor Licen~e Number --1aZ?S ,.. Expiration Date 'n_'_Q~ ., Constr Contr. Number 84200~ Expiration Date 6-22-95 Sign~~e of SU~,1iSing Electrician . " (~A-- (J2r~ Owner Namel'hfJlX lS:\n ~[\<;,'" AddressJl~ &y, \\\~ City lfl<ApM- Phone f)'\\I1.(Y1ol OWER t&STALLATION The. installatioilis being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT:fi ' RECEIVED BY: ---------------~-------- ~-\D.. . ~ ~..J \ - 'bJ COHPLETE FEE SCHEDULE BELOV New Kesloenlial-Single or Hulti-Family per dwelling Service Included: uni t. Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dwelling Service or Feeder I ~ ?is $ 85.00 $ 15.00 Cj[L $ 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" above D. Branch Circui ts New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Hiscellaneous(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 \ l\~ fSJ 9'-, 'l~' .""-- c:; \BC\ .00 SUBTOTAL OF ABOVE 5% State Surcharge ~~D'