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HomeMy WebLinkAboutPermit Electrical 1994-12-8 e The following project as submitted has the 10110 zoning. and does not require specific land use 225 FIITH STREET approval. ~ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonino LC/ ~ ~/~ <;"/ INSPECTION REQUEST: 726-376~,'1 .,. /c, I I City Job Number -/ ~ z::> / OFFICE: 726-3759 Dat\1'.I/"D. 1':1.. ~uthorized Signature ~ COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION 1999 Il1t11'n ,S+. LEGAL DESCRIPTION /7/'J _'" J~? JOB DESCRIPTION inSfo II ,5 un r/+y Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. D45tTn A. New Residential-Single or Multi-Family per dwelling Service Included: . Items 1000 sq.ft. or less Each additional 500 sq; ft or portion thereof . Each Manuf'd Home or Modular Dwelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor, Son i t ro I Secu r i ty or Relocation: \ Address P.O. Box 21009 City Euuene Phone 461-5678 Supervisor License Number 1-'7 )?OJLE Expiration Date JIJ - /- qr:,. Constr Contr. Number 65149 Expiration Date 6-28-96 Signature of Supervising Electrician ,'Y\ \ 1- Jk 1fY) <./ vIA "v0 -\' Owners Name fnini- PI"j- /!7a/rf Address ,<;'0 fYLII Ci ty Phone '71tf- IJIciD OVNER INSTALLATION The installation is being made on property I ovn which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: / J_-q" - 'i~ v}',;,.,.Jt, j, ' ~:l.- 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. $ 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 $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 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 -L $ 36.00 <~,tIli 5. SUBTOTAL OF ABOVE .::sc,.~ 5% State Surcharge /. g() 3% Administrative Fee /. /)8 TOTAL ,3R.~R-