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HomeMy WebLinkAboutPermit Electrical 1998-5-21 . SpeGFIELD zoning. and does not requlre opec/flc land uso approval, =f~7I'.i ~C Da1e~ 974 -f't- . ,:.... - SIgnature fl M 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION ,f f :>70<) /lA1l/'/oJ'rr y?1"(,A '77'r'?J" A. . v LEGAL DESCRIPTION 1?~?~~~'7:'-:- ..?'":S'/o-D JOB DF;SCRIPTIOpl /.J&)-~/.4/-. frOlM ~ Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 d3Ys. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor /?vlz.i ~/N"'.];~v,,? Address /;)d? &\..._ 71'4 City~~~.(..<-<:, Phone_6f'7~7;J-07 Supervisor License Number 8' J;J.. !leI Expiration Date /0 '-r-'74 Constr Contr. Number /OJ-Jo Z Expiration Date f(-)-)' 7.1 Signatur~of Supervisi Electrician C..;:j , r -'-. --- ~ners Name /'{ra '<:e.n'k Address 570'7 /?? AI"... S/ Ci ty \>r7~/,,<J.:tcl d Phone 9 i'lr- J..lJ? v ./ OVNER INSTALLATION The installation is being made on property I oyn yhich is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT II: RECEIVED BY: '5'-;;:!/-q.g 2ey9~ // -....- or "t.-' ~_. ELECTRICAL PERMIT APPLICATION City Job Number ~"::::>~9S- 3. COMPLETE FEE SCHEDULE BELaY Ney Residential-Single or ~" Mul ti-Family per dyelling uni to ., ." Service Included: ' Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular .Dyelling Service or Feeder S 85.00 S 15.00 'S 40.00. 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 $ 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 $ 40.00 $ 55.00 $ 80.00 volts see I'Blt above D. Branch Circuits ," Ney, Alteration or Extension Per Panel One Circuit Each Additional Circuit or yith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation S 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 ~__ 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL '36'.-"" ,r j" :9s:2. /.~8 ~~ :S'\ ~