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HomeMy WebLinkAboutPermit Electrical 1998-6-8 . . SPRINGFIELD The, following project ... aubmllt~ has ,. Zo",ng and dooe at au lhe follP'<<llll1..._ 225 FIFTH STREET apprOV~I, n require &peclflc land ,,~L'TIUCAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-376~Zo~ning fY\d./JI City Job Number q r tJ b 55 OFFICE: 726-3759 , D-'(0[1'I_1 , 3. COHPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTAL~ed SlgneturenM s-'1 f Olfl:da / t \a. .."'. ",~~i~~ t ial-Single or Multi-Family per dwelling unit. Service Included: ~D~\(R,l;PTION \ I)D ~~'o.~'.j.. \\Orx) (\ JQB-DF.WU;:;?AN ~ . 't- - W 0 : 0 (\('(L \ rn1 J) (Jf Permits are non-tra^sferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days.' Items Cost Sum 1000 sq.ft. or less L $ 85.00 Bs Each additional 500 sq. ft or portion ~ 3D thereof $ 15.00 Each Manuf'd Home or Hodular Dwelling Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor A \lilt,) f ledt>~~, or Relocation: Address /1. S u.) -:>J'''!! So{-. h'}tQmH~PS or less .qj,ql4I1lPs to 400 amps Ci ty r"\'\ r.\.!i.etl ~ Phone S~ 1-4,c.-:l..nq -1(/~ ~~~~mps to 600 amps / C'Q ~r'%b~_ to 1000 amps Supervisor Licen,se Number / /) f) 0 ~) ""4' lft4((:'L~ 1u"lt{amps/vol ts . :Y'61 ,U~()o~t ~ Expiration Date I[)-I-qg 'OQ4 O~ ~~~, ~(:' c. t'eJl!il.oI<s~ ~)pcffiJl; or Feeders Constr Contr. Number I h-L.lc... Ins'Y~a't-Wll' ~~on or Relocation Expiration Date 1D-1-41? 200 am~s or ~~J';84'~~.t $ 40.00 201 amps to 400 ~s l' $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Signature of Supervising Electrician a~. 0 - 1'''--1 --- ~\\P10 SA1v~(,)I\.) ,.,\ Address I~ ~\.0 '?-,v>e' 'S,\-. City l\'\o,rL-n S Phone sq f -l..n~.,;l.l<, q Owners Name OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~Aii~-----------~--n--\J7:~~-~-- RECEIPT I: 1,--1. n,' N~a- RECEIVED BY: ~\.. ~'\]~ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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. 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 11'?l.CO 5% State Surcharge .~.~ T(}TM. ,306 ~1 ,4-~ totaL 181 ,610