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HomeMy WebLinkAboutPermit Electrical 1996-4-17 Tl10 following projoct !IS GubmJt1ed has tho followIng zoninrj, and does not roquire &pOCific ~nd U&Q 225 FIFTH STREET appro"./' . ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoni"" dLJu ~\ rY\,'AO INSPECTION REQUEST: 726-37691{ (7-C/~ City Job Number '-'\ Ot l\. OFFICE: 726-3759 0"10' -( - ,I\u>horized Slgnatu", 3~PLETE FEE SCHEDULE BELOIl 1. WW~N ~,~STAL~ ' I \~, \ .c:;r(\ N\ ). A. New Residential-Single or -- Multi-Family per dwelling unit. Service Included: J:L~~~n~ ~~~~~~O~~ > ?'l.23 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 .B. Elect~ical Contractor beQIv ~ fleSIt,c. Address F. D. ~D;t '1.;g ~ Ci ty fU1llVt "ll~C'l. Phone '1'3 ~ - <;'30 j Supervisor License Number ?~I~ 5 Expiration Date IO-I-~S'" Constr Contr. Number 9q S"i"l 1000 sq.ft. or less Each additional 500 sq. ft or portion ~ thereof '. --.,.,L Each Manuf'd Home. or Modular Dwelling Service or Feeder 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 OnIy Items . Cost Sum $ 85.00 .P5 $ 15.00 ~~ $ 40.00 S 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00: C. Temporar~ Services or Feeders Installation, Alteration or Relocation Expiration Date a - 20 - <!l: Signature of Supervising Electrician ~-L.; Owners Name ('1&-\ ,~U" Q!?-~~l\.Q.., D. Address Pi\["~\ \..~ ~ , Ci ty ~9A- Phone'1\:\ Q\QlS OIlNER I~ALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE:_ . '/.....O.~ ,..:,\,r.J.r. lI: -;:z / /~ ...3 RECEIVED BY: r ~___ . '" j.... . :~~:: '~.::.- ..," 200 amps' 'OT less 201 amps to' 400 amps Over 401 to 600 amps Over 600 amps or 100U volts ...,.... - Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above .' New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ". .:: '.~:.C:"..._' .......... . $ 35.00 $ 2.00 not included) $ $ $ $ /3D,c:no a;::.J~ ?5lO /"/0 ~ 40.00 40.00 20.00 36.00