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HomeMy WebLinkAboutPermit Electrical 1996-4-12 v '. ~ The following projacl 88 oubmlllad has tile fe1 zoning. end doe" not require specific land use approval. . , /rng A. () IZ- 225 FIITB STREET oate-.!J.::J 2.. -'1 {,P SPRINGFIELD, OREGON 97471 ~ INSPECTION REQUEST: 726~'gljZad SIgnature OFFICE: 726-3759 1. LOCATION ~p. :j;NSTALLAT!9N . .1 --3..tJCo /1..1 K~ ,',0 eN> S' I LE~AL .Q~CRIPTION / ""63, /0- d_ ()O() v JOB DESCRIpt.lON ' 9M/)'-efJ Y~IAJ'~ Permits are non-transferable and expire if vork is not started vi thin' 180 days of, issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor JYal.fl. rfr "'f,. , ' Address YL/~ dL { (/ E- Ci ty. ~UJJ>"',.J., Phone Jt.j t{ - q;) g7 Supervisor License Number ~xpiration Date Constr Contr. Number G 7l.f1.<:' 7// ~ In I I . ~~~~~ViSing Electrician Fu..fu.V'e 'X 'I (~ D. ~~ B ,ft'lJ-VL ~'>'IJ j)f. ,'''/95'-3/76 Expiration Date Ovners Name Address < Ci ty ("IJ 'JQ-AJo.JL Phone O\INER INSTALLATION " The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: -~~---------------------------- DATE: '( -/2 -9& RECEIPT lI: ( IL / ()r~..s RECEIVED BY: n ' /Y) /'lcf':./'ilJ () ELECTRICAL PERIlIT APPLICATION c''>. Job Number qSI g). y 3. ' COMPLETE FEE SCHEDULE BELOV Nev Residential-Single or ~ MUlt,i-FamilY per dvelling uni " Serv.ice Included: ' Items Co t . A. Sum 1000 sq.ft. or,less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular'Dvelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 'Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 40Q amps 401 amps to, 600 amps 601 amps to 1000 amps, Over 1QOO amps/volts Reconnect Only $ 50.00 " $ 60.00 $100.00 $130.0Q $3QO.OQ $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less 201 amps to 400 amps Over 401 to 6QO amps Over 600 amps or 1000 volts $ 40.QO $ 55.00 $ 80.QO see liB" above . .' Branch Circuits " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feedel' Permi t $ 35.00 " $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm no t included) . !. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $40.00 $ 40.00 $ 20.00 $ 36.00' ::11) . ~ - 1.(fV . Iv 0 11 2 I. (10 l:V . <>~ : J