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HomeMy WebLinkAboutPermit Electrical 1996-1-26 . . SPRINGFIELD Tha, following project as Bubmltled Me the fcllc..'Il zonmg, Ulld does not require specific land use ' approval, . Zoning e. c., Oete \- din - ~(p 97477 --- n6:!!3rifgd Signature---.p.f 3. 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLAT~ ~ <: m 4-? '/U C=. .' LEGAL DESCRIPTION /) I .?;-:'A'i:'}( ..{' /t:'lJ.-//fV:s !tt0f., . /703 >S-:3/ ///(7pO JOB DESCRIPTION /. 4dcl / c/Z--!,i/,?;/ .4'>--7 Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor 1-~.g M/ Address -:2 9/9d /!d-Cd/J d- Ci ty ~ ~"..~ Phone 4'~ /-:; 77/ L / Supervisor License Number S S-7.)--, S Expiration Date /0 -/-7' 7 Constr Contr. Number ~;)..C;::J-'7 Expiration Date S-'7-?7 )l Signature of Supervising Electrician ~"?:-~/_><- -;~ Ovners Name --J}1?//~ ~If'. Address 5".s-.3 MA7AJ City Phone 71?-~t OYNER INSTALLATION The installation is being made on property I own vhich is not intended for sale, lease or rent. Owners Signature: --------------------~-~-------------- DATE: //26( ~ ~~~~:.;:~ 11 ~u. 7nfi /~/"':. :.., ELECTRICAL PERMIT APPLICATION A. r.i tv Job Number 9~ff)// COMPLETE FEE SCHEDULE BELOI/ . Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cos t Sum 1000 sq.ft, or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular .Dvelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 Only $ 50.00 $ 60,00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see IIBu above D. Branch Circuits .' Nev, Alteration or Extension Per Panel One Circui t &..-- $ 35.00 35,- Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder -Each installation' Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee " TOTAl. $ 40.00 $ 40,00 $ 20.00 $ 36.00 ,<: ,5:- /,?.r I,~r '< '7.$ CJ