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HomeMy WebLinkAboutPermit Signage 1996-1-16 . . SPRINGFIELD . bmltlOO hOD tho follow'n The lcl\owing projcel. ~;~~\r. opaclllo land U8e zon!i":g. end docs nex approval.. Q G Zonmg_ 225 FIFTH STREET \ I Iv- _ Cj 10 SPRINGFIELD, OREGON 9747<Perte--=- - _ F\ INSPECTION REQUEST: 726A~~&ed SlgnatUre_ .,cv I--' OFFICE: 726-3759 \ 3. 1. ~~ ~^tu~o~ r-{ffl3~PTIt)\oa.tD ~~f~S)PTION permits~e non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor A/A/! 4<;:" ...-fru Address_,P,~ ~ /9 ./)~/ ~o . City r~~ Phone ~'1J.-"7:-!-/)' Superv' or License Number _1./ ~<. <::; I J; Expiration Date 9-2 S -9't.: Constr Contr. Number riRO L( 2- Z- Expiration Date 7-/(, - 9"'-. Owners The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: . :~~~~-:~-~~-:l-.-~r.~------ RECEIVED BY:"::t::::ZPzl1 / A. ELECTRICAL PERMIT APPLICATION "ny Job Number 0. ~\S\tf2.-, New Residential-Single or ~ :::::::m::: ::~::l:::O:ni t. ". . Service Included: Items Cos t Sum 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 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 $ 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 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 .'\ $ 40.00 ~ $ 20.00 $ 36.00 ~(D <9 - uu - I ' r . -F".),'XH= '-. \