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HomeMy WebLinkAboutPermit Electrical 1995-6-1 '1 The following project es submllted has the fol/owing zoning, and does not ,require specific land li~e . :'225 FIFTH STREET approval. ' ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning ~t- (), INSPECTION REQUEST: 726-~l~9 &.;-I-q~ City Job Number '150 /34 OFFICE: 726-3759 Authorized "I~natur. tV. J'VtOIlPLETE FEE SCHEDULE BELOII 1. LOCATI~STAL~~ON /7 / i)~8'1J dh _ /~r' _ A. New Residential-Single or " Multi-Family per dwelling uni t. !7(~ .f)E~ 8AO~Oj ~ Service Included: Items Cost JOB DESCRIPTION /1)1";1...._ A )'A~ i~ 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 Contractor~J1?~~ ~~7: Address JZo"~;:V s;;o "-IV , Phone .Jpt6:r YJO';; 7 License Number ~ /7 S Expiration Date /0'- J- t:Jr Ci ty t::&c. . ./ Supervisor Constr Contr. Number f)/A c:;-~O - Expiration'Date j& - f- V\ Signature of Supervisi~lectrici ~",/A ~ \It ' . vown~rs~e "1J/JDedu &u.FP( n Address)Q(.<1Ii' S 3~:5T Ci t~"'P.~ Phone 7q{~-6Mi OIlNER INSTALLATION The installation is being made on E. property I'own which is' not intended for sale, lease or rent. Owners Signature: DATE~---7~-?73---------- 5. RECEIP'fl!: f jF7 S/ '7 RECEIVED BY:-., rL-l "'(1 ~ ',' .: . ," ' I' .', :::'; '\'~"1\".;':; ):':::;..~:~/).:~~~~; .:~:: :?,.~~-~~:.:.:..,;~:<, ::~'X:.-:,; ~. '. ,'. :.;. '::' 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular Dwelling Service or Feeder Services or Feeders Installation, Alterations or Reloca t'ion: 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 C. Sum / $ 85.00 S>--ee- ( I>~ $ 15.00 $ 40.00 ," $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 ..'~- D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above ," New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or WIth Service or Feeder Permit $ 35.00 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ....:.,'.,...:';.,..: . .:.. ~:-o,:..... ," . ' _.. not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 /i57J,6U 5,rst') ~ ,r;C!> I 0"'15;'. IJ()