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HomeMy WebLinkAboutPermit Electrical 1995-10-25 . . The following project 00 submitted hlls tho fol zOr1!ng, and does not requlro specific land usa 225 FIFTH STREET' approval. jl n ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 zonlng...iJ:,.dJ6 ~ INSPECTION REQUEST: 726-3769 /.,... k;/ Ci ty Job Number 95'"1/5-=3^ OFFICE: 726-3759 Dolelf} o('/f..:L/ ~ I 3. C9JlPLETE FEE SCHEDULE BELOII 1. )OCATION OF INSTALLATION"uthOrtzed Signature /-,... . . :?1f) 'p/A/L ~ A. Nev Residential-Single or Multi-Family per dvelling unit. LEGAL DESCRIPTION Service Included: )P,~f oz. -2/) /)/9/)-0, JOB DESCRIPTION f/FIV RESMJENt'L - ~AliUF#mI,/ Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor </H/t- IJA/ J3lB!lnt!.... Address P, {). 15J)X ~3/5/f Ci ty e./16llJf-. Phone 311-Lf9Z,gi Supervisor License Number ~;;r~~--s Expiration Date /f}-/- 99 Constr Contr. Number ~~~~ 1000 sq.ft. or less ~ Each additional 500 sq. ft or portion' # thereof Each Manuf'd Home or Mod.ular.' Dvelling Serv~ce or Feeder B. Services or Feeders Installation, Alterations or Relocation: Items Cost ( Sum S'S",a) ~o.av 4i.~' - ..... - ~ ~ -. 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' 0' S 60.00' $100.00' $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date <'-lIr 91R _ //J#P 6,(1fr..,6S Address Ci ty Phone '72ro-0' 37 01lNER INSTALLATION " The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE~--------/~~~=:;'~~------------ nt."r.J.d 1". ; //9~/J3 . RECEIVED BY: /fJ7~~ '- .' 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 Nev, 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 vith 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 ,'.1..':-t'7Y /f5":~ ~~ /F'0.8P