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HomeMy WebLinkAboutPermit Electrical 1996-4-8 The iollowing projact as submitted has the foil zoning, and does not requIre specific land use approvul. ~/7 J Zoning f<--/ Date L{ - -'1' ELECTRICAL PERMIT APPLICATION 117 V ~i-t-y-'Job Numb'J'r q@o ( B~ 3. C;kPLETE FEE SCHEDULE BELO\I *: A. NeIJ Residential-Single or '. Mul t i-Family per dIJelling uni t. " Service Included: ' 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3A69>00zOO Signature OFFICE: 726-3759 1. LOCATION OF INSTALLATION /'7:2-2 ~.A-Rd., LEGAL DESCRIPTION / 7~~ 2..~ "J.. ? 60('80 JOB DESCRIPTION /rY1-r?- ,~kc ~ Permits are non-transferable and expire if work is not started IJithin 180 days of issuance or if IJork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. . Electrical Contractor ~P\ \S\tJ\ris fl()& Address~ 0p(\~\ \\\00 . City D'fi~ Phone:1\~ Supervisor tlcense Number ~~{)~ \r\ \. Constr Contr. Number \\Il~_ 1j.~, Expiration Date Expiration Date Signature of Supervising Electrician O/d~" ~ olJn~med%>7jf"G Cwl, Address City Phone O\INER INSTALLATION The installation is being made on property I OIJn IJhi~h is not intended for sale, lease or rent. OIJners Signature: -----------, ,-----:;7,::-7::----------------- DATE:_.m ~S'//t RECEIPT 11: '~ RECEIVED BY: ,~.... Items Cost' 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or .portion thereof '$ 15.00 Each Manuf'd Home, or Modular 'DIJelling 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 C. Sum $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 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 D. Branch Circuits NeIJ, Alteration or Extension Per Panel $ 40.00 $ 55.00 $ 80.00 volts see "B" above One Circuit J/" $ 35.00 2.5:'''0 Each Additional Circuit or IJi~h Service or Feedel' Permit /1 $ 2,00 22.,0-0 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ,>7. D-P '/,e.F -/.7/ /. / r/_ u,.....-r, .