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HomeMy WebLinkAboutPermit Electrical 1995-1-2 . . The following project as Sll mttte... ;":~. "('''OI.OVl! zonIng, and does no~ require spodHc lunG u,,~ approval ) f) Zoninp cfrJJf2./ Dale ) -:;) -<is ;ap 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 9747 -,.uthortzed Signature 726-3769 1. LOCATION OF INSTALLATION B 7797 .M4$~"Y.:M:::?,/~ LEGAL DESCRIPTION ,/ /7~2. ~.3.t:) .()//~ , JOB DESCRIPTION .!:'6iFPas-71 >>~p~ ~~ .,,7~-; -_'1; ; J . //T: ,-- .... Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date /tJ-'1S- Constr Contr. Number 7?'O~~- Expiration Date ICl- '11' Signature of Supervising Electrician ~A"~ 8~j~ ctwners Name-l~~ ,~,~ Address 7797' $~~:;>~ #JVY City ?;P/C'LZ) Phone2%'~5 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~-:~---?~~~-------------- RECEIVED BY: ~~ ELECTRICAL PERMIT APPLICATION City Job Number 9-5'~.!iig8 A. New Residential-Single or Multi-Family per dwelling Service Included: COMPLETE FEE SCHEDULE BELOV unit. ,.M Items cos~ 3. $ 85.00 $ 15.00 ~ -~;;:~- $ ~. $ 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 D. Branch Circui ts 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. 'Dwelling Service or Feeder ..-#;, ~''7~ 2. CONTRACTOR INSTALLATION ONLY ,B. Services or F~ders __~.)(~ - J " Installation, Alterations Electrical contract~u-<.n{.),n,,[&J~r; Relocation: Address ~ 16, ~ ~b2nc! {7 ,200 amps or less ~_ ' 201 amps to 400 amps Ci tye). . Phone 7<(7 ;2..fJEfil 401 ami>s to. 600 amps f 7' 7Y'7 617"7 601 amps to 1000 amps Supervisor License Number ',7 ~ :).s- Over 1000 amps/volts Reconnect Only $ 40.00 $ 55.00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge '3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ":?L? tfJI'P ) ~'? i!!? ?~:~