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HomeMy WebLinkAboutPermit Electrical 1995-4-24 ~ . . SPRINGFIELD . . The lol!owing p'olectt ~~~~ir:.peclfiC land use zoning. aoO does no 225 FIFI'D STREET approval. . {lit :r: SPRINGFIELD, OREGON 97477 Zoning, ~ INSPEcrION REQuEsT: 72~_~.-.cr'" OFFICE: 726-3759 D.e_ I I ,IV 'f'^. AuthorIZed Slgne!U", 1. LOCATION OF INSTALLATION 4343 /!Jot'n 51-. ELECTRICAL PERMIT APPLICATION City Job Number ~5.5;5 J. COMPLETE FEE SCHEDULE BELOII ~ A. New Residential-Single or ~ Multi-Family per dwelling unit, Service Included: Items Cost Sum LEGAL DESCRIPTION /7--&:>Z--32--?J/. ..,:?~/ / JOB DESCRIPTION --Ri!JQ(.t biSh, Flour'. uJ/~q~~S Permits are non-transferable and expire if work is not started wi thin 180 days of issuance or if,work is suspen~ed for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor l;;dGSOfl. E/@.(.-frI~/1nG' Address P-o. Box ,27 Phone qqlr -SSL./8 Number 3'iJ1 S I().-I~ ql Co!'st.r Contr. Number qe;'!oy H,.- 9<1 Ci ty ::riJncfion (,'-Iv , Supervisor License Expiration Date Expiration Date O\INER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, Ovners Signature: DA~E~-------~-~-~-~-------------- RECEIPT jI: /7/~ ~ RECEIVED BY: / ,...d:#f / 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 $ 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 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 Signature of Supervising Electrician ~~L"~~ r' ~ _ _________' D. Branch Circuits Owners Name~ ~C.~/? ~~ "'"'). '~ . ' New, Alteration or Extension Per Panel Address 4~'To ./ '7~.4f?' .fI L__ ' _./.. One Circuit $ 35.00ol.l3'3.00 Ci ty~ ~~L?;) Phone "?Y? ~.:2:::2yg Each Addi tional . . Circuit or with Service or Feeder Permit ;l 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 $ 36,00 5. SUBTOTAL OF ABOVE ~~. ~ 5% State Surcharge . J .''!Jii'~ 3% Administrative Fee /, / '7 TOTAL '7''2.. /:c. volts $ 40.00 $ 55.00 $ 80.00 see liB" above $ 1,00 2.00