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HomeMy WebLinkAboutPermit Electrical 1996-3-4 . .1 The. J.ollowing project as submlllad has tha f zoning, and doeo not require spectfic land u approval. Zoning 225 FIFTH STREET Dote ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Authorizad SI tu INSPECTION REQUEST: 726-3769 gna '" ~'>!' T-,b Number ~.29z.. OFFICE: 726-3759 1, LOCATION OF INSTAL~TION I t.j. 5/0 fuAlW\...> 00. u-Ll LEGAL DESCRIPTION /~~?.er.<!>" ~?O/ , _ JOB DESCRIPTION J.lfICittlfl,l.J~i\.J.~, ~ TO" (I(\lL, ~ .b0)~~ Permlts ar~nbn-transferable and expire if vork is not started within 180 days of issuance or if work is suspended for 180 days. 2, CONTRACTOR INSTALLATION ONLY Electrical Contractorc.~ 381lot1TrUl' \\.1~. Address p,O. ~ 14.z-?-> ' , Cit~J Phone1J./.1-~131t> Supervisor License Number I b Q b ,<:) Expiration Date 10 -I - q2 Constr Contr, Number 0:3 g4~ Expiration Date g -1-'\ b eJr:;;p:;~an D Owners Name TC. l rn.~\.~iNY\ l~~ Address iZqllhlH4 ~ru \..Ii'..> 'D Ci ty Pu...fiH(\U Phone 4-84- 300 10 l.) ~.35o,... OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: 3'-7'~"%" RECEIPT #: -:2f:JI'~" 017f"'PTU't:'n nv. e-;?~ 3, COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Hulti-Family per dwelling uni t. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq, ft or portion thereof $ 15.00 Each Manuf'd Home, or Hodular'Dwelling Service or Feeder $ 40.00 B, Services or Feeders Installa tion, Alterations or Relocation: 200 amps or less $ 50,00 :10,00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100,00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40,00 C. Temporary Services or Feeders Installa1ion, Alteration or Relocation 200 amps' 'or less $ 40,00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80:00 Over 600 amps or 1000 volts see "B" above Branch Circuits ," Nev, Alteration or Extension Per Panel One Circuit Each Add it i onal Circuit or vith Service or Feeder Permit $ 35,00 $ 2.00 E, Miscellaneous (Service/feeder not'included) -Each installation Pump or irrigation $ 40.0q 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 TOTAL 50.00 :2, flO I. So SJ./...00