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HomeMy WebLinkAboutPermit Electrical 1995-2-24 .' . SPRINGFIELD .' I I zonmg, and does not requiro specific land use approval. Zoning t V 225 FIFTH STREET --- SPRINGFIELD, OREGON 9747fJeje 7- (, Y - ~..., INSPECTION REQUEST: 726~~ed Signature " W yt,- OFFICE: 726-3159 1. ~IA.C4T;rON OF...J~STAL~TION 'I! ) \ l 0 \ U(\ 1\ 1 ~ 0 ) nrr~li~N Q,~rs rC'lJOB DESCRIj'TtON - ~ \~O_ C'A ~0.LL.A-A. 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. Electrical contract~: \A.o~ Y'lod Addressm~\ ~m\.~ ' CityT.J.Yf(\O Phone~t6.m'c1.a , Supervisor ~icense Number ~ Expiration Date \~.. \.~~ Constr Contr. Number C"'A2..C\l () Expiration Date \ ~ . \0 .I\~ Signature of Supervising Electrician ~~J2, Q~~ ' Owners Na~~)~~; I~~.\~ Addre~lS> -'~ Ci t'{.\). ~ ~O Phone_ 4-~. SlQ.l1 OI/NER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners'Signature: ~A~~~---------------~~~'~--~----- RECEIPT 11: '~ \\ ^Ari ) RECEIVED BY: '>m \;rd"~ ELECTRICAL PERMIT APPLICATION o..~r:J? J l.o City Job Number 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: .' Items Cost Sum 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each ~anuf'd Home or Modular.'Dwelling' Service or Feeder $ 85.00. $ 15.00 $ 40.00 Services or Feeders Installation, Alterations ~r Relocation: 200 amps or less 201 amps to 400 amps 401 amps to ,600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconn~ct Only $ 50.00 $ 60.00 $lOO.OO $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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits .' New, Alteration or Extension Per Panel $ 35.00 ?5 \ One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. ' Mi~cellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res .. Limited Energy/Comm no t included) 40.00 40.00 20.00 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ t3S.CD IT),- - I. 0'-:s 73T'i'-r"'l