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Home My WebLink AboutPermit Electrical 1995-4-21 The fOl/owi09 . zoning, &na (jpro/Bct 8S submitted apprO\'a1. 063 n5ffs'Vire speci1~as the followinn G clanduse . ~ Zoning De,L:J: 2-1-q)/ _ ELECTRICAL PERMIT APPLICATION 97477 ~ - A~ nlf-"3'Hi9'd Signature A}&\. Ci ty Job Number 9 5CJ r- , 3. COHl'JJl.1L PEE SCHEDULE BELOV ~ 1. }OCATION OF INSTALLATION /j . 9!CJ:. /?'?~or{A. ~d. A. New Residential-Single or Multi-Family per dwelling unit. ," LEGAL DESCRIPTION Service Included: J 7n~ 2 C\ 2-3 t'JaLal'J , 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 JOB DESCRIPTION .R~qM / .I~6 S-"ATl-6 Permits are non-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. Electrical contractor~\-\-c. El...d..?"c., Address \5<51"> R~(.,c- ~"', Ci ty E:::..ll1P."'t' Phone Lj(.,/- C:Ob / -J Supervisor License Number 3'1 J 2 5 Expiration Date 10/// Ct5 Constr Contr, Number 97~c::'?' Expiration Date_ 3/28/"lk, I Signature of Supervising Electrician r l1rCi{D--JIIJ7~Mn- / Owners Name~~{ 1?'-~ WeB p~~'ti~ ,- Address ' City Phone OVNER INSTALLATION The installation is being ~ade on property I own which is not intended for sale, lease or rent, Owners Signature: ~~~~~-:~--~~2~~::~~------------- RECEIVED BY: ;t[~-- Sum Items Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home, or Hodular'Dwelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts 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 servic~ or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 ~~ $ 2.00 O&-e .::>. not included) S 40.00 $ 40.00 S 20.00 S 36.00 43,.0.0 ZIS- /.2T ~.~.,.. . . .' Tho fol/owing project .9 S b z.onir'i(J, lmd doe~ not rA"'~r:ttted :I~.SI the following appro'.'3.1. -"1 SPeculC and USe Zonino tv Q7477 - ~ T7'io6_3+6-~4"'-214") , Authorized Signature tJ M. ":) . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION /<P/5/ /77/lVl"/J/h2 '7f2.,ar/ I LEGAL DESCRIPTION 7-(},-i -..;/):-,;?;;? /"I//J() JOB DESCRIPTION , //j/J1rJ J / /?Jt!t.k~f ~t7./~./ /%'tVlh"/ 4-~ Permits are non-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. Electrical contractor~/J~~~j',J/~~ Address~ ~M~.;0 r:fi': City .f,.//J/h.J? ~ Phone3f-z-/~9 7" . SuperVlsor License Number Lf-7c- ~ Expiration Date ~ I[)~ -'" ' I C. Constr Contr. Number~~~~/),P Expiration Date ~~~ Signature of Supervising Electrician /)(~ Owners N~ / ,;; Address \C\ \~\: ~ H\~ City ~ Phone O~ I\lSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DA~E~---------~~~/ji;r~------------- RECEIPT JI: _I { . I ?f!f!i:::. RECEIVED BY: _ . SPRINGFIELD ELECTRICAL PERMIT APPLICATION 1"- Ci ty Job Number . qlflO4tb~l ,.n~ FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: It ems Cos t urn 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 Services or Feeders Installation, Alterations 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 S 40.00 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 S 40.00 $ 55.00 $ 80.00 see "B" above 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 -Each installation Pump or irrigation Sign/Outline Lighting )( Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ 4;), tJ 0 ..j. ,()(i /. .:20 4~. ;ijJ / ~O 40.00 40.00 20.00 36.00