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HomeMy WebLinkAboutPermit Signage 1995-1-5 . . SPRINGFIELD te/ Zoning 225 FIFTH STREET Data I" 5- 95 SPRINGFIELD, OREGON 97,;]tt7. ' . II", INSPECTION REQUEST:, 726_~~(;9Signatura tv I ~ OFFICE: 726-3759 1. LOCATION OF INSTALLATIO~ t;71J ~[~ (.fr.!..(/ A. ~~ DESCRIFTION I'){)OI ~?M f'DPI:::f) JOB DESCRImON .....,11'^ , Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. - Electrical ContractorJ21U(~ ~- [U/kf Address 2 Dy J plFe,..!,J" (-/r, pf Ci ty W~ Phone 5L(2..-/fML Supervisor License Number {,...l3f 5 Expiration Date 10/;" r- ; Constr Contr. Number G4.~{fi1 Expiration Date JI VIr Signature of Supervising Electrician (Z~ ynw/>) D. Ovners Nam~ V--\ rip -_~ fl )r~ Address~tt\- I m N\ ~ i ~ t .0 Ci ty f ~p no ~ Phone ,'1,4Q.. - \"\ \ A OI1NER I>>STALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature:- DATE~---------------l~~-~--\~~ RECEIPT 11: IJ )\~~ RECEIVED BY: ",of^.- ELECTRICAL PERMIT APPLICATION City Job Number~ COMPLETE FEE SCHEDULE BELOII ~ New Residential-Single or Multi-Family per dwelling uni t. " Service Included: ',. Items Cost Sum- 3. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular-Dwelling Service or Feeder 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 $ 85.00 $ 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 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 "B" above ." New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting I Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~1 I.;L l.j.,\~ ~