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HomeMy WebLinkAboutPermit Electrical 1996-3-8 The following project as 5ubmlt1ed has tho fell zoning, 'and does rfot roquire specific lend use approval. ) Zonina h I 225 FIFTH STREET --6 I' if cit . SPRINGFIELD, OREGON 97477 Dote C> ~lp INSPECTION REOlJEST: 726-37~_~gnatu'" OFFICE: 726-3759 \1ttl c:::.. JOB Of.l.S~PTION,1 '" ...:>\"} I~Qf(\l)n:......:) Permits are non-transferable and expire if york is not started vi thin lBO days of issuance or if york is suspended for 180 days. ELECTRICAL PERMIT NPLICATIONyj . .fJ.--i) r.i <v' T"O Number \A ~De., ~V I COMPLETE FEE SCHEDULE BELOV 3. A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dvelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders \ '^Y . fl. f\ -I-Installation, Alterations Electrical ContractorM' pCl7-~e, ,,~\W( Ueo or Relocation: Addre~'s \)(') ~ \\ \ _. '. 200 amps or less \. "^ L ':\\1"\ l410 J\t\.AGI' 201 amps to 400 amps Ci ty.lU..,' \-Wf\Jlut:... Phone '1l.Ji"D 401 amps to 600 amps' 'l. 'J.('\ Q 601 amps to 1000 amps Supervisor. License Number ~~lD~ Over 1000 amps/volts \l". . \ . Reconnec t Only Expiration Date \ ) Constr Contr. Number \O~ Expiration Date ~.\~. Signature of Supervising Electrician Il<-f (f)~ Ovners Name If\o,,)\~~..\W''l-;:'' \rt )S,C Address Wl A-~ ~fh\LCL.-- Ci ty 1ffio\ \ )L' J$one OIINER INSTALLATION The installation is being made on property I OIJn vhich is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: ~b' ~ RECEIPT () &7 4s RECEIVED BY: /o..J. ry\f'(4/~~ C_ Sum $ 85.00 '$ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps S 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits D_ NeIJ, Alteration or Extension Per Panel One Circuit Each Additional Cil-cuit 01. IJith Servicet::::. oc Feedec Pecmit ~ $ E. Miscellaneous (Service/feedec -Each installation Pump or iccigation Sign/Outline Lighting Limited Energy/Res ----- Limited Enecgy/Comm _____ 5. SUBTOTAL OF ABOVE 5% State Surchacge 3% Administrative Fee TOTAL' I $ 35.00 35. 2.00 ill not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~~~ I.'.~, L\-(5.(d )