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HomeMy WebLinkAboutPermit Electrical 1996-8-7 . . .' I "::or . zoning, and does not require specific land use approval. 225 Ht La STREET Zonino ~C ~ SPRINGFIELD, OREGON 974 7flote ')('l' elL L INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 Authortzed SlgnaMe . 1. LOCATION OF INSTALLATION #dl05 tYld/n 5-f: J 7lJ~~~PT~ON 0 I q O{) JOB DESCRIPTION ,'n<.w/I Secun".J-.\j / Permits are 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 Electrical Contractor, Snn it rn 1 Secu r i ty \ Address P.O. Box 21009 City Euuene Phone 461-5678 Supervisor License Number /78tJJL-C Expiration Date j!J-j- 9fo Constr Conn. Number 65149 Expiration Date 6-28-96 Signature fYI,-f-r i of Supervising Electrician , I p1 ~ r ( iN..,) I - Owners Name_ !3/(xy/fo & y / Address :5crmf' Ci ty Phone q 7"/h -72-79 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~ ~-~l~=Lrri------------~ RECEIVED BY: ")0~~( ';M 3. ELECTRICAL PERHITAIJICATION r/ Ci ty Job Number f (fJ{) Z' d. X A. COIlPLETE FEE SCHEDULE BELO'i1 ~ New Residential-Single or Multi-Family per dwelling unit. ' Service Included: Items, Cos t 'Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Ins talla t i on, 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 S 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 Limi ted Energy /Comm / $ 36. 00 ~t,0l) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 3fnOV i ffO /ofj' "2. ~!l1:)