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HomeMy WebLinkAboutPermit Electrical 1995-1-1 . .. SPRINGFIELD The following proleo! eo Gubmttled hostho folio',',; zC:"IinO, and does not require spcchjc I[.n(: U:3 approval. Zoning N'"\\)K 225 FIFTH STREET SPRINGFIELD, OREGON 97;'7~~e INSPECTION REQUEST: 726",~Z.,(!~led Signature OFFICE: 726-3759 1. LOCATION OF INSTALLATION 59~ 6}Ak.JALE LEGAL DESCRIPTION /7n <: 2-2... 4'2- /)~~ JOB DESCRIPT)ON ~-*~ Af7AlA/~ .RoM r I v , Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. "'-7;:: ../ i!7' 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date ~ Signature of Supervising Electrician Owners Name iJ'to^,~~~.r /a.-f'! /f..pmn~ .5".&. / . Phone '12.(P --/ '1/1 I Address2/" ?(;; City ~ - - ( OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ovnytSlSignjture: .I LA UlJJ --------------------------------------- DATE: RECEIPT ~: ......-.,....-......n:'r.n~ ELECTRICAL PERMIT APPLICATION ~ () Ci tv Job Number '951 ~c. 3.' COMPLETE FEE SCHEDULE ~ELOV A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dvelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to ;'00 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less '-- $ ;'0.00 ~.~ 201 amps to 400 amps $ 55.00 Over ;'01 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "S" above D. Branch Circuits . New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscel1aneous (Service/feeder not included) -Each installation' Pump or irrigation $ ;'0.00 Sign/Outline Lighting $ ;'0.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ~."'" 5% State Surcharge ' ~~ 3% Administrative Fee ("'~ TOTAl. 43,""'"