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HomeMy WebLinkAboutPermit Electrical 1996-4-3 The. following projae\ as oubmlttad has the loll, zoning, end does no! require op&Cific land UlMl approval. Zoning f (.) 225 FIITH STREET DateJ . '7 ~Cjft; SPRINGFIELD, OREGON 97477 \.. f INSPEcrION REQUEST: 726-3-9(1/!)orlzed Signature f) _ OFFICE: 726-3759 3. COHPLETE FEE SCHEDULE BELOII * 1. LOCATION OF }:NSTALLATION '? -5"~ '9 ~~ -;;;;y. A. Ne" Residential-Single or Hulti-Family per d"elling unit. LEGAL DESCRIPTION Service Included: /"}-.::P2-" '7/- '72., C? ~~ Items Cost,> Sum JOB DESCRIPTION !A~~';= .~/)?~/~~//~. Permits are non-transferable and expire if york is not started "ithin 180 days of issuance or if york is suspended for 180 days. CitV<)~ . 1 ;/ Supervisor License Phone 7<(7 :;Z.P8i1 7v7 6/7'7 '~7'35-~ Number Expiration Date 10-95 ELECTRICAL PERMIT APPLICATION City Job Number '9~/2~ 1000 sQ.ft. or less Each additional 500 sQ. ft or portion thereof Each Hanuf'd Home, or Hodular'Dyelling Service or Feeder $ 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 2. CONTRAcrOR INSTALLATION ONLY ,B. Services or Feeders __\-, .in -; ,r Installation, Alterations Electrical contract~4-,,;}~./Zf.J!f'nmJ~ Relocation: Address ~ /6. S;; 5:;2ntl ~7 . 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 Constr Contr. Number 77v5~' Expiration Date ,1tl- '15 Signatu57 /S .super,v~ing Electrician Gb;"~/{~24;;( t6(m'~rs Name 'j) F#ft//~ ~ D. hAV~~ _ ,. " l _ . Address "3 -'7'8-;5" Md#/ ~ - City -7~?p: Phone ;/?6-S'~~3 01lNER INSTALLATION The installation is being made on property I O"n "hich is not intended for sale, lease or rent. Owners Signature: 4.______________________________________ '-/- "3~;Jb '2.<:!!>~~/-5 //~- '// DATE: RECEIPT II: RECEIVED BY: 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000-vorts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above Ne", Alteration or Extension Per Panel " One Ci rcui t yo- $ 35.00 ?l 5: _es Each Additional Circuit or "ith Service or Feeder Permit 2. $ 2.00 'I E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge '3% Administrative Fee TOTAL no t included) $ $ $ $ ~.~ /.-r=?' /./7 .L/ '2 .I "2 40.00 40.00 20.00 36.00 ,