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HomeMy WebLinkAboutPermit Electrical 1994-8-3 ..'\~. -" The following pro}eelas IUbmllled hell the lollowln zoning, and doBl nol require lpe<:lfIc lend use 225 FIFTH STREET approve!. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonl~' INSPECTION REQUEST: 726-3769 Ci ty Job Number 9'/ /~/ OFFICE: 726-3759 DCe COIo!PJ.~'I'~ FEE SCHEDULE BELOV Au\hOriz8d Sign8\Ufll 3 . 1. LOCATION OF INSTALLATION 1377 1fi/tCf-('fCe1- A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION J ?~'3~:::.?"- =3 ~.. /P~C- JOB DESCRIPTIO~ ' L'vt.c;f.::ttl /-.1 / rO~ker5 IVI Ce/;""<j Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for" 180 days. It ems Cos t Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling .. h "...., Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 2. CONTRACTOR INSTALLATION ONLY B. Electrical ContractorClbW0:e[(@:.1 ;;:(~dl"'c.. 'V Address Ro..&x ?()d()! ?=<fl1eV\€'. OR. Ci ty Cf7{jt} d- phone&fG-'B3 73 Supervisor License Number ~SI:; "- Expiration Date I()-~~ Constr Contr. Number ~~;,L) $ 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 C. Temporary Services or' Feeders Installation, Alteration or Relocation Expiration Date S- 'lS $ 40.00 $ 55.00 $ 80.00 see "B" above 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Signatijre of ~upervising Electrician u)d~4.~~ 0. V D Owners Name rUr-+~9~ +~ &Q.vt~1 5"bA . Address ~vv-€. Branch Circuits New, Alteration or Extension Per Panel $ 35.00 p.a/ One Circuit I Each Addit ional Circuit or with Service or Feeder Permit Phone City $ 2.00 OVNER INSTALLATION 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 '3S. CO 5% State Surcharge J,.7S" 3% Administrative Fee /. d"- TOTAL '4 ? ~<!) oil The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- ~"" 'f- ~C/ J 7:../~~ /' /../ - ~~#Y - .rr DATE: RECEIPT 11: RECEIVED BY: ~\