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HomeMy WebLinkAboutPermit Electrical 1996-8-6 The following project as ;ubmittedhas the follow zoning, and does not require specnlc land use , 8IJproval. ~ N . zonino.( . \ - I ~ntaj,' ~ .q LP '-" 97477 72 6J::rmzod Signature 225 FIFTH STREET , SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 LOCATION OF INSTALLATION ~ J_ .;, . /J'JJJIAJ . ~r t(V1':;) LEGAL DESCRIPTION /'?"lIP2-~/-c././ ~4'~~ . - -" 1. JOB DESCRIPTION TE~/f> ~c:.~7. Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION'ONLY \ Electrical Contractor E-S~, :729tJ/ A/L 5..1MJj AL.l!P; u,t 25,P'; /f9Z5 /j-/ -t1.f 70L( /7 / j.--zp-f7 Address Ci ty 7/?OI./Tf)//!-k-tJR.' Phpne Supervisor License Number Expiration Date Constr' Contr. 'Number Expiration Date Signature' of Supervising Electrician . ~):;X~ . Ovners ~me ffi/OC?'> t::..L- L ., . Address pJ? /E .. -2"?T "7 Ci ty /'9~--,p-Phone -"> ~/ - '5~L . ., OIINER IN S,!,ALLATI ON. The installation is being made on . property I ovn vhich is not intended for sale, ,"lease or ren t. Ovners Signature: --------------------------------------- . ' DATE: RECEIPT II: 'RECEIVED BY: <<: - "5'"'~ c;- -;z~/ //~ /,r , ELECTRICAL PERMIT APPLICATION "ilYI' "HY Job Number 5'~</ 3. COMPLETE FEE SCHEDULE BELOII l4f A. Nev Residential-Single or' ",l'i-".il, p'" do,"i" "",. . Service Included:, Items Cost 'Sum 1000 sq.ft. or less $ 8~.00 Each additional 500 sq. ft or 'portion thereof $ 15.00 Each Manuf'd Home. or Modular 'Dvelling Service or Feeder '$ 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 Reco~1nec t Only $ 50.00 $ 60.00 . $100.00 $130.00 $300.00 $ 40;00 C. Temporary Services or Feeders Installation,' Alteration or Relocation '1<. ~~- . 'j. $ 40.00 70 t?C/ $ 55.00' $ 80.00 see "B" above . 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100u volts D. Branch Circuits .Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service. or Feeder Permit $ 35.00 $ . 2.00 E. Miscellaneous (Service/feeder -Each installation. Pump or irrigation Sign/Ou tline 'Ligh t ing Limited Energy/Res Limited.Energy/Comm nof included) . 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40,0.0 . $ 20.00 , $ 36.00 q,tJ ,OCJ ''700 /. '2t? &Y?2o