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HomeMy WebLinkAboutPermit Electrical 1994-12-28 -. . The. following project es submnted has the followln zomng. and doe!> not require specific land use 9 approval. 225 FIFTH STREET SPRINGFIELD, OREGON 97477 Z6nlngfll' ) INSPECTION REQUEST: 7~(}:.3fTJ>'}. 7 t A if.. OFFICE: 726-3759 7 - - ~ \ \ _ Authorized Signature f'-1 ~ 3. 1. LOCATION OF INSTALLATION 100'2 \'Y\pilf\I~' LEGAL DESCRIPTION /70 _S 51 1 i 0870 ZJ JOB DESCRIPTION 1-f;o OJ'lY\I.'I, \llJ!M~-~l ,onn. .~..hQ.(\t:l()lIlmf(} J \ U'IOA.I~ Permits are non-transferablea~na'explre if ~ork is not started ~ithin 180 days of issuance or if ~ork is-suspended for'- 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical contractorW ~~ortrtl~_)~. Address P ..0 . ~1.... City~~ Phone~I-11..3b Supervisor License Number l~g~0 Expiration Date 10 - I -ct5 Constr Contr. Number 03 gL/-q Expiration Date q - I-q 5 S~~~~~Electrician L,.-- D. O~ners Name. Address IoD1... ffi.Pi rYl J City~(\"~Phone...11.."-b:lIJ 0\1NER INlfALLATION The installation is being made on property I o~n ~hich is not intended for sale, lease or rent. Owners Signature: DA~E~----------;~;?~-i;;r~----------- RECEIPT II: / c; q <),{_ RECEIVED BY: ..,/~.~ -r L ELECTRICAL PERMIT APPLICATION q ~/g,7 2- City Job Number COMPLETE FEE SCHEDULE BELOV Ne~ Residential-Single or ~ Multi-Family per d~elling uni . Service Included: Items Cos Sum A. 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 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 $ 85.00 $ 15.00 $ 40.00 $ 50.00 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above Ne~, Alteration or Extension Per Panel One Circuit Each Additional Circuit or ~ith Service or Feeder Permit ~ $ 35.00 " $ 2.00 J&Q 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 s4-.00 5% State Surcharge ~.~~ 3% Administrative Fee J~~ TOTAL 5Jl. .~,~