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HomeMy WebLinkAboutPermit Electrical 1994-4-1 .p,,{ 14f!)qc- ~ ~~,- .~. ~-.. SPRINGFIELD . . . . bmllled haS the 0 1M 10Uow\ng prole~t ~~ire Bpeei11C land u.. zoning. end doeS no 225 FIFTH STREET .ppro~.I. & SPRINGFIELD, OREGON 97477 Zanlng_#.D '.. INSPECTION REQUEST: 72tat1762f _I..fi'-f .. OFFICE: 726-3759 ~Jn4 A\IIhOrized Signalure~ 1. LOCATION OF INSTALLATION . '7?"2 r~.#/"I' r ~4<J r 7f:.-7";) LEGAL DESCRIPTION ./2::P~:;;t:2-e;::. -=-/ ~zztO<:;;' ....-JOB I>ES~ION C-=--. /h~~~/. ~4M'If"/CE ~ , - Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for. 180 days. ELECTRICAL PERHIT APPLICATION Ci ty Job Number ~ V ~ y 8. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling Service Included: unit. Items Sum Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular, .Dwelling Service or Feeder $ 85.00. $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ~NLY B. Services or Feeders ./1.. ~ Installation, Alterations E}~~!;C__~.contractor~~~~ ~~r Relocation: Address ?~~ 2~"3. 200 amps or less .. .. 201 amps to 400 amps City~-:~ Phone~~~~ 401 amps to 600 amps f'~ 601 amps to 1000 amps Supervisor icertse Number Over 1000 amps/volts Reconn~.ct Only .Expiration Date Constr Contr. Number-.6J9~? Expiration Date AO-6~'" .... f~{$"~G" . Gfi.~A (j;;i~ .-.....- liners ame 0ry (bT-i:=- 5.P~b Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: _ "''''''''--9 y: RECEIPT i: /Y~:::l.. RECEIVED BY: ~.~.,,~ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation D. 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch circuits -s 40.00 e/t? $ 55.00 $ 80.00 volts see "B" .above " " New, Alteration ar Extension Per Panel One Circuit Each Additional Circuit or with 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 Limited Energy/Comm $ 36.00 5, SUBTOTAL OF ABOVE ~~.~ 5% State Surcharge ~~ 3% Administrative Fee /.2C> TOTAL ~-20 . -