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HomeMy WebLinkAboutPermit Electrical 1996-3-1 ". . . s, "" oI,FlELD >>- ubmllled haS the fo The following prol~ ~~uire specifiC \and zoning and doe9 n 225 FIFTH STREET appro~el. I' /II ELECTRICAL PERMIT APPUCATION SPRINGFIELD, OREGON 97477 i"" L.L/ INSPECTION REQuEsT: 726-3769 .:/j C)/. City Job Number~~ OFFICE: 726-3759 Dale..c1- ~ -l ~~ HPlgrR ........ SCHEDULE BELOV ~ 1. LOCATIOli OF INSTALLATIOlfUlhorized Slgnetu"' I u'7b:;>'" 49~ ~A:?"...p<-. A. Ne" Residential-Single or . . /... u_~_ . Hulti-Family per dwelling unit. LEGAL DESCRIPTION Service Included: /?..::r.z.~?2...3(- &>~ Items Cost Sum JOB DESCRIPTION . '7) pr.:; ~/~ ~v?CG" ?'.u.:..,~ ~~ ~~.7 """~. Permits are non-transferable and expire~ if "ark is not started 'within 180 days of issuance or if. work is suspen~ed for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor_~dLSOtl. Efec1r;c',]"t. Address Fo, (Jy{)'X .27 1-:71 7'7~ Phone qqa- -S'if/.f8 ~r.,~~ ~'tn S 1{),!.Q1 COJ>st,r Contr. Number q 'JqO ~ 1'''- 'tq Ci ty JiJndion (~'tv I Supervisor License Number Expiration Date Expiration Date Signature of Supervising Electrician ~Z~~:'-~'L~ Owners NameA.t,;q.H~""/ L., ~ AddressZ"5Y/ UL~ .dv~ - ,; Ci ty -4!i~e;;?e Phone .!/$S--'A:?~ uWu"'" INSTtuZtr~ The installation is being made on property I o"n "hich is not intended for sale, lease or rent. Owners Signature: DATE: ?.y-% R6vt.J.t'i 11: ~;5ii:G-::> RECEIVED BY: ~ - ~ . 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ~~ C. Temporary Services or Feeders Installation, Alteration or Relocation 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit $ 35.00 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 $ 36.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only --L-- 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits "';-d'. -- .2. -"5'0 1_ ""==-e> ~<<..A ~