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HomeMy WebLinkAboutPermit Electrical 1994-5-17 . . Zoning~ ()~ 225 ,FIFTH STREET Date <, -I i -q ~ SPRINGFIELD, OREGON 9747~~s, at tJ .M. INSPECTION REQUEST: 72ff-JTlJ~- - 'Iln ure OFFICE: 726-3759 1. !-Q~TION OF INSTALLATION "'-...1 &:;'72. <!)AA'/':>A~~ ~. LEGAL DESCRIPTION f?"W!?/I-Z;Z~ ..e>~~ fi' JOB DESCll!.PTION ~ C--~E=C/". , 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 Electrical Contractor Address City Phone , Supervisor Licen.se Number Expiration Date Constr Contr. Number Expi'ration Date Signature of Supervising Eiectrician ,i: owners Nllf1e ~, E~/_~~# Address~ "3 ,/7'~":::""-'-="""'" ~ . City ,(.h:;~~ Phone ~ ~2. ',~?~/ ' ,,"'~II~ INSTALlATIln("'- , The installation is being made on property I own which is not intended for sale, 'lease or- rent. ' Ovn~t~/~ 5"'. /-ifJ" ,:.2, . , , - DATE: RECEIPT I: RECEIVED BY: .".1~ ." .' ~ '/ ELECTRICAL PERMIT APPLICATION "Hy'Job Number '9~~5'96 3. COHPLETE FEE SCHEDULE BELOV A. New Residential-Single or Hulti~Family per dwelling unit. Service Included: It ems Cos t Sum 1000 sq.ft" or less $ 85.00 Each additional 500 sq. ft or portion thereof. $ 15.00 Each Hanuf'd Home or Modular Dwelling Service or ,Feeder $ 40.00 B. Services or Feeders Installation; Alterations or Relocation: 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 $ 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 ~$ 40.00 ~ 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amp?, or 1000 volts see "B" above D.- Branch Circuits New, Alteration or Extension Per Panel 'One Circui t Each Additional Circuit 'or with Service , or Feeder 'Permi t :, $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or, irrigation' Sign/OiltlineLighting Limited Energy/Res Limited Energy/Comm not included) 5,. SUBTOTAL OF' ABOVE 5% 'State ,Surcharge TOTAL ' ' $ 40.00 $ 40.00 $ 20.00 $36.60 _ '7 tt'. en:> r~ - -:::l. -7"/-"')..,1!> ~ ~. 2C> . '. '" . . . .' , '>'