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HomeMy WebLinkAboutPermit Electrical 1995-7-27 y The. following project ao submitted has tho following zoning, and d~es not require specific land use approval. Zoninp I K ~ 225 FIFTH STREET Dot~-~') SPRINGFIELD, OREGON 2,7.47.7 -.-. 1\1 M INSPECTION REQUEST: 7~~~~~~natura , ~ OFFICE: 726-3759 ' 1. LpCA1jION OF INSTAl"LATION 34-l4-- (bL~(\ 1 17JE~<c~~t=n) lQZ7 JOB DESCRIPTION ~ Il: . . I.~' r\JI 'u", ~'r\J'f\n[\Q...'FrL('If'(\'\~ 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 contractorD,~ PD0l11M(\ ,~. I 1. Address p.O. ~r>L tt.f.-R1..-.. . Cit~~rl\l'iM~ Phone141-1,1,~IC') SuperVisor~umber .I to 9,{n S Expiration Date I()-I-qfi Constr Contr. Number ();,~dA Expiration Date q-l-q5 Signature of Supervising Electrician ~d.-t6,7~ Oyners Name n rt I \-A-{\ fI ~n \ ,j D rU ~ n D ~ ) Address~~lrjU(l\ Ci t~r\..I Cl'\.C\ f1LLPhone~144~ OVNER IN~ALLATION The installation is being made on property I oyn vhich is not intended for sale, lease or rent. Ovners Signature: ~~~~~~~~~R~--------------- RECEIVED BY: fJ~ ELECTRICAL PERHI~PLICATIO~ ~i ty Job Number G(50 I ~ C,t; 3. COMPLETE FEE SCHEDULE BELOY A. Ney Residential-Single or Multi-Family per dyelling 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 'Dve1ling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 S 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 $ 40.00 $ 55.00 $ 80.00 see "Bit above D. Branch Circuits " Ney, Alteration or Extension Per Panel One Circuit Each Addi tiona1 Circuit or yith Service or Feeder Permit $ 35.00 35.00 $ 2.00 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 -31, 00 1.~5 I.) \ :\q,qID