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HomeMy WebLinkAboutPermit Electrical 1996-6-10 The following project as .ubmitled has tlie lollowin zoning, and dt~09 110t require specific ~nd use approyel. 225 FIITB STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Zonina L. l::::t-- Da:.je '[0 .4 (JJ 97477 , 726~6>J>d Signature 1. LOCATION OF INSTALLATION ./ . ;_ 977 /:)C-,D ~L.#.#-~ Z; ~_ , LEGAL DESCRIPTION I> ~"3- ~ ~ -aP. a/t:->t::!" ~ , JOB DESCRIPTION ! A//~~~-f- ~P?1 C;A A'~ -"f- - .'- Permits are non-transferable and expire if York is not started Ilithin 180 days of issuance or if Ilork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ;1LJt~ ~~~ Address d-9/t?C7 e&o-". e'", k .etI. Ci ty~",........... tfiU Phone ~t/ (-:2 77( /' Supervisor License Number 5>:}7;).. <::. Expiration Date ICJ-I-91r Constr Contr. Number 6.;).&,;)-9 Expiration Date. 3-7'-'77 Signature of Supervising Electrician ~c,~,-> _~? - -. D Ollners Name h/7"v;:Z<:E 3'" ~..-??c.5' . Address;' 5'9.? <~~ ?!d~ City ~E"~ Phone qr~~ , OVNER INSTALLATION The installation is being made on property I Olln Ilhich is not intended for sale, lease or rent. Ollners Signature: DATE: RECEIPT 1I: RECEIVED BY: v;:M . ELECTRICAL PERMIT APPLICATION ~Job Number. 9b~ ~ "3 ~ 3. COMPLETE FEE SCHEDULE BELOY A. Nell Residential-Single or Multi-Family per dllelling 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 'DIlelling Service or Feeder - $ 85.00 7 '$ 15.00 $ 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' 'OT 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 Branch'Circuits Nell, Alteration or Extension Per Panel One Circuit Each Additional Circuit or Ilith 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% State Surcharge 3% Administrative Fee TOTAL , ' ~E c'~?5 ~"-' //v--~c.:r I "-?~r ..::-;:;;;~ itff"~ C~7~~. ,. . k. 9.5-7 ole! <12rC/c-H(~ If -t E ~c-/r/c i o~ (Pl-Jr/~ ~ T ,3,~ ALr- ~~L~ -- -.......