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HomeMy WebLinkAboutPermit Electrical 1995-2-8 ~, -. , cI . oubmitted has the fol ThelolJowing prole D> , 'pec~ic land use zoning, and does not reqUlfe > ELECTRICAL PERMIT APPLICATION 97477 approval. ~ 726-3769 Zonina . , Ci ty Job Number 9~~~ Dati}, /~~t) 3~MPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLATIOlj.uthcrized Signature . - ~<W7 O/LJm./J/t-: A. New Residential-Single or ~ Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: .J2::P2 - ~.....,.~. ~/.,.::::>~ r 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 JOB DESCRIPTION UO<;l!i:ld,q c <j,-;CUX{ -hI , CI / Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Items Cost Sum $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Son it ro I SeclJ r i ty or Relocation: , Address P.O. Box 21009 City Euuene Phone 461 - 5678 Supervisor License Number /t,;:rq RET Expiration Date /O-I-qe::, Constr Contr. Number 65149 Expiration Date 6-28-96 Sign~~ician Owners Name Jfrr7f'.ra Irf Address Son'lf'" 1-/\1 rim f-( / I ( C. I Ci ty. Phone 7LJ'7-t?cJ /8 O\INER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: --------------------------------------- DATE: '2. ~ -~ RECEIPT j!: /~"'3? RECEIVED BY: /' L/JO -1;0'- ~ /,/" 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 S 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with 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 -L $ 36.00 ~ .lJZ) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ::Sf,.,. 07'l !- 'z! n I, (')J? ~ R, R i?