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HomeMy WebLinkAboutPermit Electrical 1996-8-30 . SPRI.IELD The following project as submitted has the follow; zoning, end does not require epac~lc land use approval. Zonina mw ---- 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. Q<rte ~ ''k'..ctll 97471 72 6A>3iJ;(jl)ed Signature LOCATION OF INSTALLATION to.'SC15 (Y)AlnJ sf o t'2..9_.J 'f~ LEGAL DESCRIPTIOB. liD? 34 <-tl JOB DESCRIPTION ~~ f2.v(c.€ ~~. _~,.-;:-,,;: Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~ 1::(R'eIC. SEP..J//CS Address Po l1JoK ~"'\.::'\2.1 C' - 1 ty j,:;" .Jr.=:~') t:: Phone .3tf_""l- 1 &:/i.<f Supervisor License Number / =>,q..:\ S Expiration Date Ir. Iq(p Constr Contr, Number ":29,..)("") I Expiration Date 0./00 Signa:ure of Supervising Electrician 7r-, jJ~(}l jfa~/ Ovners NameLJ~ Sha-n+~ AddressC/O l'i{qJj h. 014/L. . Ci t{j;.~e;u.. Pho~ c.; / -cq It;' O~ INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent, Owners Signature: -----~--------?;-------------------- DATE;/)":-Z/l;;-, 7 (,,:> .' RECEIPT 11: U d -lU~ f RECEIVED BY'Ll. /y?~(7.ht:Jl ~,) . " w ELECTRICAL PERMIT APPLICATION 'J',:: Job Number 9 ~ 1/7::2... 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular'Dvelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only uni t. '* Sum Cost $ 85.00 $ 15.00 $ 40.00 $ 50.00 .:so ~ $ 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 Circuits $ 40.00 $ 55.00 $ 80.00 see nB" above .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 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 ""<n G-o --...5 so iso .<:;L/-G.-<>