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HomeMy WebLinkAboutPermit Electrical 1996-10-25 ~. Th!} followinQ proj'9ct as ~ubmitt:::li; M,.othe foll~)\nlng ZO~il\g, and doec not roquire spt\Cl1ir. lend uso 225 FIITH STREET epproval., f U SPRINGFIELD OREGON 97477 Zonmo ' , , INSPECTION REQUEST: r..7..:f_6-3769/0-b'ry OFFICE: 726-3759 Authorized Signature fl.yYL- ~ .... 1. LOCATION OF INSTALLATION /.:J57 711a ('n .sf ELECTRICAL PERKIT APPLICATION 9G 1%3 City Job Number ~vnrLL!L FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling Service Included: A. uni t. LEGaL DESCRIPTION l~ 6' .s c:; ""/ I f) K{/J (JD Sum Cost It ems $ 85.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder JOB DESCRIPTION i n.<,-h II ,<;er- 1..1....l::..L..+V I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electr'ical Contractor Son it 10 I Secu Ii ty or Relocation: $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Address P.O. Box 21009 Phone 461 - 5678 Ci ty Euuene Supervisor License Number /to'8Q t<.ET Expiration Date 10-(- q9 C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Contr. Number 65149 $ 40.00 $ 55.00 $ 80.00 volts see "B" a~ or less to 400 amps to 600 amps amps or 1000 200 amps 201 amps Over 401 Over 600 Expiration Date 6-28-96 Signature of Supervising Electrician ~~;d?~ " Owners Name OnJnn -dm; sJudy Tnsf,~k Address ~ me.. Ci ty Phone 744- ;~P82 OVNER INSTALLATION Branch Circuits 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 ~ $ 36.00 ~noz) 5. SUBTOTAL OF ABOVE 3Co CTD 5% State Surcharge I SO 3% Administrative Fee I o~ TOTAL ~ '6' ... ~ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -----.-----------------7:.- -------------- DATE: 10/2-) J't:? RECEIPT jI: / "2.' i./l'l RECEIVED BY: ,.6"/"7... /t' 7- '1