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HomeMy WebLinkAboutPermit Electrical 1996-6-27 . , . The following project as oubmltted has the foil zoning, and doaa not requlra apecific land u ' approval. II/(l ~ Zoning l. V Data 10 '11' t:J Ii. 225 FIFTH STREET SPRINGFIELD, OREGON 97477 AC1horlzed Signature INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION :r'lQ1j1p; mJ Jt:. (1ffi1.UUl11m'\.) LEGAL DESCRIPTION J'J...t:> '$- ~ _~ - ~ / _ ~.Jk~~o , , JOB'DESCRIPTION bW-, ..runt flumru I 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 ContractorLt S 81oJ:>rNo, 4~. , I' Address P. O. f?Jd, IJ-R~ , City~^ ~~, Phone.1!l.I-1..1.~.k..... superv~sor f!~ense Number 110 g b S Expiration Date IO-I-q;? Constr Contr. Number 03gL./.-q Expiration Date q - 1- q '" Signature of Supervising Electrician r72-~~~~ ~- ~. J ~ . , Ovners Name ('Iln,htJ~,' r\_lrnr Address ~/)"5 ~.0t. Ci ty~~~~~ ' Phone O\INER IN TALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE:. "'-;<~ ""9-:: RECEI,PT 1I: -:2::2.2./~ RECEIVED BY: ~~ ..... ELECTRICAL PERMIT APPLICATION 1v\ V'L~ ~v~ Number~~~ 3. COMPLETE FEE SCHEDULE BELOY * Cos t Sum A. Nev Residential-Single or Multi-Family per dvelling Service Included: unit. Items 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' 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circui ts .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 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 _____ $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ~:}.fl.0 5% State Surcharge (.1~ 3% Administrative Fee I. QS TOTAL 3'1. gO