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HomeMy WebLinkAboutPermit Electrical 1996-6-7 The following project as submitted has the follow; zoning, and does not require specific land use approval. Zonlno L ~ 225 FIFTB STREET D!lleJa..::::1:.1JL SPRINGFIELD, OREGON 9747Author1zed SIgnature 'Av\ INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION v? J\ ll-IAl\.\1='-n ,DiyO tv\orCQ\~ 1(,fA A. \I~~~~\ro) JOB DESCRIPTION .J: {'\<:., i--... \I i 1\ \J (Y\, W c: \ I Si 5 () Permits are non-transferable and expire if vork is. not stat'ted wi thin. 180 days of issuance or if vork is suspended for '180 days, 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor EStA,TtJc. Address \2.1 C:> OA ICP I\tC,l-\ rz.,..D City ELJo.e{\( J Phone LJg~JS:SL(L J . Supervisor License Number 5cro Sll, Expiration Date IQ-I- ql., Constr Contr. Numbet' III L~\,p Expiration Date if'd-- II Si~ature of Supervising Electrician ~ ty'-"-^- D. Ovners Name \A - LA 1Jt;-() ('r,..(\'d. U(\.t:0 AddressLjC?-,~.. ?~c\s+ <O-+'h Ci ty Su (lp,{\~ Phone ~ 9> 7~ 7-,~"\ 7 J OVNER INSTALLATION , The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT .: RECEIVED BY: ~-C;-"7~ 2./?~ ,...... / ,....-4#--;.:. . LY/ . ELECTRICAL PERMIT *PLI~,\Tt9N City Job Number l\\O\Jll\~ COHP.LETE FEE SCHEDULE BELaV Jf Nev Residential-Single or Multi-Family per dwelling unit. . , Service Included: 3. Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular'Dwelling . Service or Feeder .B. 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 Cost Sum $ 85.00 $ 15.00 $ 40.00 .' $ 50.00 0' $ 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 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see ttB" above , 0' 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 vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 .' $ 2.00 not includ~'d) . !. $ 40.00 $ 40.00 4ul::u $ 20.00 $ 36.00 4DOJ ~ au ~.~C)