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HomeMy WebLinkAboutPermit Electrical 1995-1-26 -- . . The 0 ow ng pro) s zoning, and does not require specific land us epproval. -' 225 FIFTH STREET ZOning-1j. , SPRINGFIELD, OREGON 97477 D.k-2lJ -tj, INSPECTION REQUEST: 726-3769 fl M OFFICE: 726-3759 Authorized Signature 3. 1. LOCATION OF INSTALLATI~ _ ;;;-r;;;5" MAA.-U/A ~ I~JQ If)~~~N JOB DESCRIPTION ...z:7~Ll J4;'l~/NCi , ~, 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 Electrical Contractor ~~ c::;,~.:2.- Address .sP4'e9?1f. n<1{-1 ~",' - .-- Ci ty ~ h 9..&'N", Phone.J, Y'b -tJq-,1~ Supervisor License Number /-<..( Y.<:" Expiration Date /tJ- /- C/.5" -._ Cons t r Con t r. Number .5""41 4:? / "', ... E' . D ~ / .02"'- ".,xplratlon ate /11:'" - -/.:J Signature of Supervising Electrician ?~2~ Owners Name ~#a. M~",,/:;" Address 2tCQ/1 C~d".,./j-d&./,L Ci ty ,1(:;--;:'" '!?AN" Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ----------------------Jf7~ -------- DATE: I -J.l Jn4,--) . RECEIPT 11: n.' ;'") I ~rJ.{,"7' RECEIVED BY: ~ I.J ~ v I ELECTRICAL PERMIT APPLICATION City Job Number_ COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling Service Included: 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 q eLf) LJ- unit. ~ .~~ Cost Sum It ems $ 85.00 $ 15.00 $ 40.00 $ 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 100u volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00. :56."~ $ 2.00 not included) 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 $ 40.00 $ 40.00 $ 20.00 $ 36.00 _3~~ /?G /tf.5" ~?'FI"J