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HomeMy WebLinkAboutPermit Electrical 1995-2-3 . SPRI.IELD The following projoct a. .ubm;:t.)d ha. the falla' ~onlnl1, and dOGS not requir-a specific land usa epprov"1. f\ 0 ELECTRICAL PERMIT APPLICATION 97477 Zonina V 726-3769 Ue1e, 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. Authortmd Slgnoturo LOCATIO~N INSTAIkATION .. :5't'"IS ///Ik/1/ ~T LEGAL DESCRIPTION /7/j? "< / 7./ ;<');;, 7 CJ-p Jgp p~SCRIPTI9N HtfdI e I /'(...1.1 t-T S. [C:::> <[<fJu, ff 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 :Tf3 6i.Rdnc- Tue. ~/6oa... ~ Phone 6 f?7-S:-7'/D 3'l?7 A. .;; I" /I /9 j- " 'f?4i.2...~ & /;L7-/9 J Address 17,fe::, bu-<;,~ City Supervisor License Number Expiration Date Constr Contr. Number Expiration Date of~perO;?~ ~ ~rdt Owners Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT I: RECEIVED BY: 2/3/5:<j 1;:;,9,') ,,!!. ' '1-, City Job Number ?1-; '? S o/.'? "b unit. ~ 3. A. COMPLETE FEE SCHEDULE BELOW New Residential-Single or Multi-Family per dwelling Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion the reo f $ 15.00 Each Manuf'd Home or j Modular Dwelling 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 Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation j 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 "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit / '$ 35.00 ~S-~ Each Additional Circuit or with Service or Feeder Permit ~ $ 2.00 I06,a E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5,. $ 40.00 $ 40.00 $ 20.00 $ 36.00 4 <;. ~-t? ....,zr.,-/>>, '7&;0 V' 1"1 t, f" (;,0 ~. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL '