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HomeMy WebLinkAboutPermit Electrical 1995-2-3 /In. . J~~i~~~~~I~~~~~j~~t ~s S~~:ltted ~~s the following 225 FIFTH STREET approval. eq specifiC landmCTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonin INSPECTION REQUEST: 726-3769 g City Job Number 95'c::>/2. 9- OFFICE: 726-3759 . Ome 1. LOCATION OF INSTALLATt~Worize~slgnature ,..2"l6t'J -ffaL IcUA-'I &drr KtJa..d I CI LEGAL DESCRIPTION /?-t>2.~./9-~- 0//0/ , JOB DESCRIPTION /n~'5fr:rt/ ,<;"eJ1 n'fy Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 3. COMPLETE FEE SCHEDULE BELOV A. New ResidentIal-Single or Multi-Family per dwelling unit. Service Included: Sum It ems Cos t 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 ONLY B. Services or Feeders Installation, Alterations Electrical Contractor.Sonitrol Security or Relocation: \ Address P.O. Box 21009 Ci ty Euuene Phone 461-5678 Supervisor License Number /Iof?'l RET Expiration Date /IJ-I-qc~ Constr Contr. Number 65149 Expiration Date 6-28-96 Signature of Supervising Electrician -::?~~ . Owners Name !lose IY1:1n -f!. If)offiH Address (~ In..(' Ci ty Phone _74t:, - :,r86 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: ;:? - '3' -"'9 S- /./9-;;;> 7--~ - . 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation .j- ~ 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see liB" ahove D. Branch Circui ts New, Alteration .or 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 --1-- $ 20.00 ~uv Limited Energy/Comm $ 36.00 S. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ~lro laD , ("'rJ_ J2/. (,of)