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HomeMy WebLinkAboutPermit Electrical 1996-8-1 . " zoning, and does not require specific land use approval. Zonino L-~_ rh'o~l.q(P , lfn/I ELECTRICAL PERMIT APPLICATION u------'~ity Job Number 150'157 ;~ unit. 7 225 FIFTH STREET SPRINGFIELD. OREGON INSPECTION REQUEST: OFFICE: 726-3759 974 fI\norized Signature 726-3769 J. LO<;<\TION OF ItlS'fALLATION fR750 N\nir'\ S+- LEGAL DESCRIPTION 1702..34'-/ 10",q{) I JOB DESCRIPTION 'f~1.d /'F /JI'U'.j- Permits are non-transferable and expire if wo~k is not starte~ within' 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Elec trical Con trac torJ.-^\.lA---CL.....L1."'"~ ht!LI"IL' '- Address 2.2 'IS- W. 2..2- f.r,JG City {..J~~ Phone '3tl. -$""c,~1 Supervisor License Number 4141 S Expiration Date I!J - 9 ~ Constr Contr. Number /0<.. 313 Expiration Date S - 11- ~(, s~~~e fF Supervising Electrician \r\ 'r y.2--- - Owners Name rYa~ Tmf'ft;r- Address 'fILf1~ Jf;frJ/ert?-/f Muv City ~.p('l'\qj{d~f Phone 't10~(}/CI'i{ OVNER iNiTALLATION , The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: 7-31- q & RECEIPT 1I:2.2(P'lb RECEIVED BY: ~ 3. .. COHPLETE FEE SCHEDULE BELOII A. New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less )( Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Hodular'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 '65~ $ 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 D. 200 amps"or 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 "Bit above " 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 not included) -Each installation . . . Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00' 5. SUBTOTAL OF ABOVE 57. State Surcharge 3%.Administrative Fee TOTAL ?:50-0 t.{, lot:; .:(. c;';-- Q/9;O