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HomeMy WebLinkAboutPermit Electrical 1994-9-22 :"11 tit . . .' The following project as & . ' zoning. nnd does not require specific land use approval. 225 FIFTH STREET Zonino L.\A?_ SPRINGFIELD, OREGONo~74?7 __ _ _ 4_n-C\'-(' INSPECTION REQUEST: 'l!v-J, ,,> ' OFFICE: 726-3759 Authorizc<I Signaturo, L) ti...... 3. 1. LOCATION OF INSTALLA'J'ION ./ 2-2.. 7 ""2, /5?i~ fij~ (r?. LEGAL DESCRIPTION /71'J 3 2.) 3/ J ,).r:v JOB DESCRIPTION ~A 4//JY>Y?':n f Y ~- ~ \ 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 License Number Expiration Date Constr Contr, Number Expiration Date Signature of Supervising Electrician Owners Name "RA7tJ~1<;'~P.d~ D. Address /3<0 rl .A5j'?6V City Y'J.?J) Phone, 72.C::;:;~tB)1- OVNER INSTALLATION , The installation is being made on property I own which is not intended for sale, lease. or rent. Ovners Signature: ~ --------------~~--------------------- DATE: ~ ~2./5'-r RECEIPT 1I: /9'lI(~_ RECEIVED BY: --. .4,V~ ELECTRICAL PERKIT APPLICATION City Job Number 9?/~ COHP~E FEE SCHEDULE BELOV / A. New Residential-Single or Multi-Family per dwelling unit. Service Included: " Items Cost Sum . 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof , $ 15.00 Each Manuf'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 ~ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 ~B ~ $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) " $ 40.00 $ 40.00 $ 20.00 $ 36.00 db tfT) r"204) I 2." jC3.Ui