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HomeMy WebLinkAboutPermit Electrical 1996-10-18 . . SPRINGFIELD , zo~jn~. and does not require spEiCIIl..i approval.. L-Oe, ZOning 0"" J6'li'{~- 225 FIFTH STREET - . \"0 rJ "^ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGONA9'7~j70 "'01;0"' - INSPECTION REQUEST: 726-3769 City Job Number q~ 0 f7d-.. OFFICE: 726-3759 1. LOCATION OF INSTAL.l.AT~OPo D Gffo 'f 0 L D 0 V<.Ctl 'h. L.N. LEGAL DESCRIPTION /7n~ ~~43 ~//OV J.9B DESCRIP;:tION '.0 n C'~veo lJ('ew\ 1~ Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor_ eVCitd~Js 1/.,' fl' Address 9l.{':l Ci ty cS""Q~ , Supervisor License ()L,\J~ Phone 3'1C{-~').8 7 Number - Expiration Date Cons tr Con tr. Number (Q {L{ I 5,' '7/r~/'i'7 / Sign~~~~ing Electrician . ;-- L ItJ? I'd .." Oyners Name~AJL ~ Address }~73 K,'(j-erll,J~~ /Jr. Ci ty G. _. ~...J} Phone1'5f<.' -::31 '7 C, oVNER"lNSTAL~TION - Expiration Date The installation is being made on property I ovn yhich is not intended for sale, lease or rent. Owners Signature: -------~---------~----------------- DATE:/<-J--: I 0'-- . Co . . RECEIPT jI:O:~.sS d RP.r.P.TVED BY: rJ. /YJN(7h~/!../) 3. COMPLETE FEE SCHEDULE BELOV A. Ney Residential-Single or Multi-Family per dvelling unit. Service Included: Sum Items Cas t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dvelling Service or Feeder 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 $ 85.00 $ 15.00 $ 40.00 $ 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 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above .' Nev, Alteration or Extension Per Panel $ 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 ~. 61) 5% State Surcharge 1.11 <:J 3% Administrative Fee ,(, 0 TOTAL ;:)/. '/4 0 One Circuit Each Additional Circuit or vith Service or Feeder Permit