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HomeMy WebLinkAboutPermit Signage 1995-7-24 .,. JOB DESCRIPTION I ( . nh/ (l(J fl )lqh 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~~~ ~J. Address ~nL/ :T{J/l.M/'~ f{. Ci ty >,ff'1 k-p(r! Phone JLf.2-1l bOf Supervisor License Number L.(S r 5 Expiration Date JfJ/~S- Constr Contr. Number ~~ Expiration Date ,?/0. 7 l Signature of Supervising Electrician ~:r --=-- . ~D.J Owners ~ame ~~~ Address-W. as () unoO . City~~hone ~ALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: '< -'2 'Yo"':?5" /t;, CI(/ ~~-~ -' '/ . . II.> A. New Residential-Single or Multi-Family per dwelling Service Included: bmittOd h~5 t. I I ,he tollowing projec\ ~~~ire spec~IC lend use zoning. and doe9 no 225 FIFTH STREET approval. n n ELECTRICAL PERKIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning r l ) qC:!..l\ArVI INSPECTION REQUEST: 726-3769;>,A.u-c6 Ci ty Job Number UJULJ ,/ OFFICE: 726-3759 Oole_ \IM.. - Authorized Slgna\ure~OHPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION ~f7l;'2 !mU:..... SfreM- I~~\ON t\~ Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 Reconnect Only unit. ~~ ~ Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting--J-- Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $2.00 not included) $ $ $ $ 36.00 t-t /) 04- ';;!. li~ r I :.:- L.I<-~ 40.00 40.00 20.00 .t. ':i.lE.