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HomeMy WebLinkAboutPermit Electrical 1997-10-13 '. . SPRINGFIELD " ' , DEVELOPMENT SERiilc!&.iifpi'R'1-';'giNfRuiro cp""ihc land u.~ ~ ~.',. ... <.:;.. Zonina \ cJ.-lY f€,.... '(W"'~,~ ~~~ ~lig; /# /P ~ 3. ~f1~ ~ "oq;' A. ':::;f<iC LEGAL DESCRIPTION ;{ ~ ~ g' jJ02?J4 3::L(j 0 0~ :::: ~ ~ ~ ~ '-I -!iJ c, ",. !iJ Q q: .-,., JOB DESCRIPTION ;::: g,~ tJ ~ _ ~ crl95 FiU""~ -ljPjfOJ~q;.d..A. ~.~ ~ ~'~ Permits are non-transferab~ aad~x~re if work is not started within )gg ~s of issuance or if work is suspended for ___180,_days, DateLD--t-J,- "'t , 225 FIFTH STREET Authorlzecl Signature SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 10005 'fila.-< r) 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor Mi,<:,1lA.p_ \ ~ ~l.. Address (0005 (V\,p,j '^- CityS(~M~R \cl Phone 7..;L{,-R:fR .J Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician ~ to , )., ~o J,-, . ( Owners Name ~1.c-\"rt:L'" \ ,~. Address /., 0Jr) ~ 10 tA; 0/\ Ci tY')(7 ~ 1'nN: ~ \d Phone ?.2 ~ -f!7C{7 · ..J OlINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, Own~~:crO J (t p tL ----------------------~~~j------ DATE: /0-/3-97 RECEIPT 11: d-7e",Qn RECEIVED BY: ~ 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 ELECTRICAL PERKIT APPLICATION Ci ty Job Number q i J <fCf 7 COMPLETE FEE SCHEDULE BELOV . New Residential-Single or 1< Multi-Family per dwelling unit. Service Included: Items Cosn Sum . 1000 SQ. ft. or less $ 85.00 Each additional 500 SQ. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service ,or, Feeder $ 40.00 ~ ...--. --..... 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 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above New, Alteration or Extension Per Panel $ 35.00 3'5.- One Circuit I Each Additional Circuit or with Service or Feeder Permit $ 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 Jlae;. .- 5% State Surcharge .Ji I~ ~ 3% Administrative Fee J IOS TOTAL <# ,""'7. 'lfV