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HomeMy WebLinkAboutPermit Electrical 1995-7-21 . II The following project 98 submilied has' ,the following zoning, and doet no\ require specific I~nd ,,!Sit epproval. (l V . i' . Zoning L .1 225 FIFTH STREET '2/2-. 0""- .' SPRINGFIELD, OREGON ~ I - ') .' II INSPEcrION REQUEST: p.ud,1,~~alu(. k1.')'VI} OFFICE: 726-3759 ii 31, J il i 1. LOCA!ION OF INSTALLATION , l .5Si(~^ c:T, C.pr'''ff;.,/ol lJ:GAJ. DES<:;R.lPTION II fO?",?lLf 3~ C'\\l\ QU JOB DESCRIPTION - 9J)b QA,w\P Cj>;or \ I\l... Q-- ,t c7D (iY'DUA ~ 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. CONTRAcrOR INSTALLATION ONLY Electrical Contractor ;x 1_ E {..ri.:<' Address 5'KI L""""'tu- OP. ~. c..+.:tL("/'l Ci ty <:::;",/.-. Phone 3<'/f -"1/1.3 Supervisor License Number ~ $;-1 5 Expiration Date /.1- J - qt, Constr Contr. Number I~ZZ.J1 Expiration Date 17~ - Z--'1"'5 Signature of Supervising Electrician -a/b.,^ ? ~~ Owners Name ..Q"'be.c.T- - P,!'.JJ Address~ 2>.c- ~,,-' (<,MU-< Usr. Ci ty c;- ~e/V" Phone n;.C' :-l" U" OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or renl. Ovners Signature: DATE~-------------7~~I-~~~---------- RECEIFT ~: 1 ~ ::"'''1 Ie, RECEIVED BY: ~ " ---- zoo~ '~3S ',\311 Ii ll.-J;IS " ..\ ... -~~- ELECTRICAL PERMIT APPLICATION q 5025/ ~ 1\ r-ity Job Number COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cost 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder $'85.00 $ 15.00 $ 40.00 B. II 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 $ 50.00 $ 60.00 $100.00 $130.00 ~ $300.00 $ 40.00 , i q. I Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80;00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits .' New, Alteration or Extension Per Panel I E. I' il II ;1 '1 I 5. 'I One Circuit S 35.00 Each Additional Circuit or vith Service or Feede~ Permit __~() $ 2.00 ~ not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation .Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $ 40.00 $ 40.00 $ 20.00 $ 36.00 SUBTOTAL OF ABOVE 5% State Surcharge 3% Administr~tive Fee TOTAL ~?'\ " - _:- ,;, ., -3-'-lls. yl) 688&. 8;: L f:OLS 80: II S6/0;:ILO