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HomeMy WebLinkAboutPermit Electrical 1995-8-2 " .,'--. The following project ee submitted has the foil z..,ning, and does not require specific land uso 225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonlno Ctt...!-- G/C. / 27/'--' INSPECTION REQUEST: 726-3769 <:;> _ '7 -<:: Ci ty Job Number ~ r.,v OFFICE: 726-3759 Oct. 0 (.;/? * ~~_".COKPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATtilW'orized Slgnalura r.v",- A. New Residential-Single or _'VYVl main .sf "'Hi-".ily po< ,"olli"" ,.H. ,. · . Service Included: LEGAL DESCRIF;rION linJ_"?'1 4) 004 (f7) JOB DESCRIPTION ,'r)..s+dll .:5t'Cu r~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. It ems Cost 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 2. CONTRACTOR INSTALLATION ONLY B. 'Services or Feeders Installation, Alterations Electrical Contractor. Son i t rol Secur i ty or Relocation: , Address P.O. Box 21009 City F:'"uene Phone 461-5678 Supervisor License Number /(/7gq /(ET Expiration Date /(]- /- qc;., Constr Contr. Number 65149 Expiration Date 6-28-96 Si~O~~iS~ ~lectrician c ~~(~~JL~ Owners Name ..5u Y7 ~O. :Lne Address . <;"0 YVl f? Ci ty Phone 7L/to -300'1 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: ------~------~--------------------- DATE: '{ -2- '( 5 . RECEIPT JI:_ n/ %,557- RECEIVED BY: AJ ~-- Ii 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 $ 40.00 $ 55.00 $ 80.00 see liB" 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 not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm I S 36.00 ~~ 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL .1(q.6D / , 5?() I,O~ 3l?3.x