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HomeMy WebLinkAboutPermit Electrical 1996-7-30 . . SPRINGFIELD The following projec\ es iubmitted has Ihe followi zoning, and does not require specific land use approval. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Zoning ~ 97479crtej' ~ . a); 726It1lil&lted Slgne\ure 11/1 1. LOCATION OF INSTALLATION 4-~lliq I \11 ~ . LEGAL DES~PTION ~....:::>.?~-/~ e;~L~ ,/ ELECTRICAL PERMIT APPLICATION :~ :~- Job Number 3. COMPLETE FEE SCHEDULE BELOV 9'~69 / A. Ney Residential-Single or Multi-Family per dyelling unit. Service Included: JOB DESCRIPTION wtiu , .J\o crt ~ 1I1YY1 P J Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contractorQ.t.s P ~~i~~ 'I~' Address P.D. ~4 /~g1., . City~ Phone 7tJ.1-~?'3b Supervisor LIcense Number ~S Expiration Date 10 -1- q 2 Constr Contr. Number 0 ~ &4q Expiration Date q -j-qb Signature of Supervising Electrician ~ ;.;/~ #~~---- ~Yners Name~ \i~~lJ~~ Address 45'61 ~'l{j ~t:, City~~hone '79.b':'1/'1/ o~ I~~ALLATION 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular'Dyelling Service or Feeder ,B. Services or Feeders Installation, Alterations or Relocation: It ems Cos t Sum 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 S 85.00 $ 15.00 $ 40.00 $ 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 "Bit above .' Ney, Alteration or Extension Per Panel One Circuit Each Additional Circuit or yith 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 The installation is being made on property I oyn yhich is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: ? ' "'2'7-"'7-;;; RECEIPT II: -:2~ RECEIVED BY: ---:?_____ ' 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee 'TOTAL ' .-:j~. Of! t. '15 I,QC;- ~,.,.~O