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HomeMy WebLinkAboutPermit Electrical 1995-12-29 ,]!!!!Y ThE) (ollowlng prcJO(..t un Gubmhtod'r.as the follow!. zon;ng, and doeij not require ~poclfic lend use ,pproval.. ~ /I /? / Zonmo r,:ii\ ~ F---/ 225 FIFTH STREET ,-.5 SPRINGFIELD, OREGON 9747'lrr.e_J2-- 2-1-1 INSPECTION REOUEST: 726A37.~%<~ SIgnature ,/? A/ OFFICE: ' 726-3759 un v . - , 1 - '/ 3. COMPLETE FEE SCHEDULE BELOII l.-..,LOCATI;ON OF INSTALLATJON, I . J _,-.....lS'_~~ G 'f'o.\~ LEGAL DESCRIPTION _)08 DES~~ION .$h'\I'~('\ Vl/'t"'-.J"1f/s; Permits a~e non-t~ansferable and expi~e if vork is not sta~ted vithin' 180 days of issuance o~ if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor ~,(U s H,' F,' 9l.{,~ aU UE Phone )l[L{-~;;>a-7 Numbe~~ Address Ci ty G , r," ~ ~ ) . Supe~visor License Expiration Date Const.r Cont~. Nunibe~ G it{f!3 ') If::' /c;r;, I Si/UZt::1:::ectrician Ovners Nam~ .fu~ ICe If,. B /f. Phone 7t.!7- t(rf77 Expiration Date Address (t;:) (t, CitY4-0ct 01lNER INSTALLATION , The installation is being made on prope~ty I ovn vhich is not intended for sale, lease o~ ~ent. Owners Signature: DATE~--l)~~~'1-;tif-~--------------~ RECEIPT Ii: _ n/ ~q . . RECEIVED BY: J...J' m a {..AfI.-C/4'J ELECTRICAL PERMIT APPLICATION. City Job Number Cf56 q73 Se~vices or Feeders Installation, Alterations or Relocation: 200 amps o~ 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 $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Ovel' 600 amps o~ 1000 volts see "B" above D. Branch Circuits A. Nev Residential-Single or . Multi-Family per dvelling unit. Se~vice Included: Items Cost Sum 1000 sQ.ft. o~ less $ 85.00 Each additional 500 sQ. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modulal' 'Dvelling Service or Feeder $ 40.00 " Nev, Alte~ation or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 " $ 2.00 E. Miscellaneous (Service/ feeder not included) -Each'installation . " Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res ,/ $ 20.00 ;;)0. (j./ Limited Ene~gy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 37. Administrative Fee TOTAL ::m _ 60 f .00 ,(00 -:L I .,~()