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HomeMy WebLinkAboutPermit Electrical 1996-4-16 TI1:'3:. to/fowing project as aubmit1!3d h3S tho fO/lo~vmg z0n~;;9, and does not roquire specific land us~ approval. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Zoning ,_ OIL 9747P.t.~. (p 726-All~~zod Signature ~ In CitY:Ob Number 3. ' COMPLETE FEE SCHEDULE 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders \ \~y . ~. }) ~Installation, Alterations Electrical Contractor~Il' r{l7-\f' , '(~\1Pfuec\or Relocation: Addres's \)() ~ \\ \ _. . 200 amps or less \.\1\ \~ .\\ 14IoLlt\Ad." 201 amps to 400 amps Ci ty.ll\ \wf\/\ P Phone '1lJ\Ci 401 ampS to. 600 amps ':t "':l.(,\ <1 601 amps to 1000 amps Supervisor. License Number -J~lD~ Over 1000 amps/volts \\"-. . \ . Reconnec t Only Expiration Date \ ) Constr Contr. Number \Q~ 1. LOCATION OF INSTALLATI%- /'26? ~Af/..N" --7J", /7"-$5 LEGAL DESCRIPTION / 7'<?~ -'3~ 0/ / . .!:'Sl!::>&>O r JOB DESCRIPT~N ~ - ~0'r,.z-- /~~ 7M/~ 5'< Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date ~.\~. Sign~r~ ofsuperv~sing Electrician ~,fa.z;A ow~ers Name C:;?~" fir ~ ;::~AH Address City Phone OllNER INSTALLATION The installation is being made on property I owri which is not intended (or sale, lease or rent. Owners Signature: --------------------------------------- DATE: LI-~~'~ RECEIPT l!: .~ =7 ,.- RECEIVED BY: E;(/~ ~ ELECTRICAL PERMIT APPLICATION -:7b~ S.< > BELO\1 '* A. New Residential-Single or Multi-Family per dwelling Service Included: uni t. Items Cost 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 I $ 40.00 y.c7 $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Cit.cu i t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 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 ~~. ~ 5% S ta te Surcharge . "2"-"'" 3% Administrative Fee /,:2 &> TOTAL' ~ ':'7(2 (. -