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HomeMy WebLinkAboutPermit Electrical 1996-4-12 rJ . . SPRINGFIELD The, following prqe;ct as oubmltted has the followl zoning, and does not require speellle land use approval. Zonina S LJ' L( - ( 2.-4 (p PP ELECTRICAL PERMIT APPLICATION City Job Number 9~/Y7" 225 FIITH STREET D.te SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 72~'317611ed S1gnotu... OFFICE: 726-3759 COMPLETE FEE SCHEDULE BELOY 3. 1, LOCATION OF INSTALLATION L7'<::,,,,, ~,z;>ij#/./6-Y...-9'<- Ud t-' A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION /?.,cJ"3-/-r-..c>O_ L7'?b/ , JOB DESCRIPllON ?/,47/ TEL? C-""(-~'::;7- t:#;:z:V~ Sum Items Cost $ 85.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular, 'Dwelling Service or Feeder $ 15.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. $ 40.00 Services or Feeders Installation, Alterations or Relocation: 2, CONTRACTOR INST~ION ONLY B. Electrical contractor~\:J"\? A'S,~. Address ~7 ",Ie. c..~C\-\ SI. City ?OR.TLAN~ Phone .73>3-6'1\ \ Supervisor License Number 2loc;lST\A Expiration Date 10 I \ 1<1'10 Constr Contr. Number ~<g8bb Expiration Date 5/1'6 96 Sign~ ~i~g Electrician ,J~~ D. Owners Name Y~cr~.o ~~ Address 5?P&? ~A'.r/#;w~--:~/"4r:f; Ci ty 9/"c..R ~. Phone ./ OYNER INSTALLATION $ 50,00 $ 60.00 $100.00 $130.00 $300,00 $ 40,00 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation C. $ 40.00 $ 55.00 $ 80,00 see ltB" above 200 amps' 'or less , 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits " New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 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 .::3li2.- 5' -:Z:::. ",",0 SUBTOTAL OF ABOVE 7~?, 5% State Surcharge /,~~ 3% Administrative Fee (. L28 TOTAL "3$, .87'-. The installation is being made on property I own which is not intended for sale, lease or rent, Owners Signature: --------------------------------------- DATE: 4'V'2-%" RECEIPTli: ::z ./L>L<Jo RECEIVED BY: ....... ,;~