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HomeMy WebLinkAboutPermit Electrical 1995-6-27 Thei following project as submntoo has Ihe folk'w'ng zon ng, and does not roquire specific land uso I approval. Zonlnl' L D fL-, Dote h ~4)';- 225 FIFTH STREET SPRINGFIELD. OREGON INSPECTION REQUEST: OFFICE: 726-3759 9741]<'l.orlzOO Signature 726-3769 NM 1. LOCt;;JO Of rqt{{fTW]:Jt 141- A. LEGAL DESCRIPTION ! f () .~ 2:2i(Z () 31 cr. ;.,...."JOB DESCRIPTION I Lfoo a II' tJ S/l r vld, I t57J a.1M. f )u b paN! -r.cZ- '.k:, "'1-, . a'Cut!/ 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 Contl'actor D.e.! '5 Fjfcb1c... Address7Jtfl7 va.lvlP--- . CitY~IAL Phone leC{g-Y}J1 supe~~::or' L~ense Number ~.) Expiration Date iO....I-10 , - Constr Contr. Number l7D 0 \ -Uo-~Y Expiration Date Signature of superv~si~ Electrician ftL ?:- L../1 Owners Nam~ '..p~ ~Md CJ1I!l~ Address ?jY; r:-. 'Sf- <#:- Cj . _ / City ?i>p-k) Phone 7 41-7'u;- OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: --------~----------------------------- DATE: (/7,27-'1?' RECEIPT 11: f fr cJ UJ '1 RECEIVED BY: f J-i;"v"l 9.: ELECTRICAL PERMIT APPLICATION "~~J Job Number q t/I fla '3 3. COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular 'Dwelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less ( 201 amps to 400 amps I 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 ?O.6b $ 60.00 1.1l /J') $100.00 ~ $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 100u volts see "B" above D. Branch Circuits .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permi t '1./ $ 35.00 $ 2.00<P~ not included) E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 nlr~~('1 cO I/~ - LJOf"1 = "?1 0.70 ~ Z.Zv.- ~/'1 . q z..