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HomeMy WebLinkAboutPermit Electrical 1995-11-21 -. S.~FIELD .. The tollowing project es b m 7o"iog, and docs nol reqS~ro~c~'rh'~1 tho following ilpproval. ", I "" and uno Zoning r+ I 225 FIFTH STREET D"IO 1\ _ ~ 1_ Q '" SPRINGFIELD, OREGON 97477 L-) INSPECTION REQUEST: 7ilP-li~ Slgneture S n OFFICE: 726-3759 ~ 1. LOCATION OF I~STALLATION .3 <:I/g> JJ,.-,j-'LA~ LEGAL DESCRIPTION J'7,€J 2- :~,.." ') d. J.t!:) 2./) 7 JOB DESCRIPTION /J ~ ~-A ~ ~~._. Permits a(e n~-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electr'ical Contractor ~ ~' Address /01'2- ~ ~ - ,~ Ci ty ~~ Phone 72-9 -(f:CO supe'rviso(License Number ?rS-$ /4/ f& Constr Contr. Number' t3(J7f5B 1z/95 Expiration Date Expiration Date Signature of Supervising Electrician . ~~: ' Owners Name~ ~/& <f;ll,) Address Ci ty Phone "7d7-./1Y'J8 . . ~ , OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, Owners Signature: -------------p- -~-- ----------------- DATE: I/. .J./- V _ _, RECEIPT 11: .' /'"). Ca,) " RECEIVED BY: ' _ //~ =:. __ q'ir ' - \.. ELECTRICAL PERMIT APPLICATION Ci ty Job Nwnber .g cS/SCl-.? ;;> 3. COMP~TE PEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 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 ~s or Feeders ~ lation,~terati~ 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 I $ 50.00 ~~ $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or F.eeders Installation, Alteration or Relocation 200 amps' 'or less $ 40.00 201 amps to 400 ~mps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 vol ts see "B'~ a!Jove D. Branch Circuits 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 $ 20.00 Limited Energy/Comm $ 36.00 5. SU8TOTAL OF ABOVE 5b,t>O 5% State Surcharge ~,$O~ 3% Administrative',Fee J, ,ro TOTAL '\ ~Lbf.L - f(