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HomeMy WebLinkAboutPermit Electrical 1998-7-9 The following projoct c\s ~ubmitlocl hca th" fo1lowlnO zoning. and doe. not roqulre opoenlc land uoo t\pproval. Zonlna t.e...../ 225 FIFTH STREET ....~7 ..-~..-c.,<f., SPRINGFIELD, OREGON"'9'flr'l1i' INSPECTION REQUEST,~uth~~!Ilu", )') Y'\ OFFICE: 726-3759 1. LOCATION OF INSTALLATION ~?~ .~.f/~ ~7' A. LEGAL DESCRIPTION ,/") ~oz.'?>/ '"'7" ~ /.)./~ ,)~~~~PTI~~ ?f~/:L__.: _...""<.:. ,-/~_., ,- /~// t:. 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 B. Electrical ContractorC~~uJ ~II~ ~(t:<.lr,'C. Address P.O. &x d.?~0( ~ Ci ty f.(')0/-lA~: d'q7'l0).Phone SSt.;.('3<:"{/ Supervisor License Number 3<'(; ;).y.$ Expiration Oate ~C?;I~~ Constr Contr. Number 0;5/)/0 Expiration Date r~ Signature of Supervising Electrician I A )~~ Ji.~..--J!? Owners NameY$2r.., !~=~ ~. D. Address '7. -;:;/::? 1?~~0<~ CitV~one ~7"L .~?) OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE:..:.. ::<'" 9,9- ff,t RECEIPT # : -;<$ :::> '-/ / RECEIVED 'BY: /' ./....;-~- ~- ~ ----' ELECTRICAL PERMIT APPLICATION 3. Ci ty Job Number q 7/?::::?1Y COMPLETE FEE SCHEDULE BELOII * New Residential-Single or Multi-Family per dwelling unit: Service Included: It ems Cost Sum 1000 sQ.ft. or less Each additional 500 sQ. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 'Services or Feeders Inst~llation, 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 ';--v. ~ $ 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 $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits .. New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit B $ 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 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE .b tb. -a 5% State Surcharge ~.~~ 3% Administrative Fee / ~ TOTAL '7 P 2~