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HomeMy WebLinkAboutPermit Electrical 1998-10-8 (2) The following project as eubmltted has tho following zoning. and does not require specific land lJ~', approval. 225 FIFTH STREET \ \\{ SPRINGFIELD OREGON 97477 Zonnp OL INSPECTION REQUEST: 726-3769 Oateta ~ l'l Ci ty Job Number OFFICE: 726-3759 Authorized Slgnaturlil .. f\ ~P.T ,F.TF. FF.F.SCJrnDULE '1. LOCATION 5"3J~ . A. ~/01-. , LEGAL DESCRIPTION /702 _'<'5 C10 013~ JOB ;z.SCRIPTION ~. . Ch. J,t )tr:::p../l" } . Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days, ' Expiration Date C. Constr Contr. Number /10 1iP / Expiration Date ~/ztJrJO Signature of ~~~~:/:~:=g r19~t~l~ x ELECTRICAL PERMIT APPLICATION Ne~ Residential-Single or Multi-Family per d~elling Service Included: 1000 sq.ft, or less Each additional 500 sq, ft or portion thereof Each Manuf'd Hom~ or Modular D~elling Service or Feeder 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 Items ~ ~/~ J BELOW' uni t. Cost Sum B. Services or Feeders Installation, Alterations or Relocation: $ 85.00 $ 15,00 1--'$ 40,00 1Ot:i'f) ... <I $ 50.00 $ 60,00 $100.00 $130,00 $300,00 $ 40,00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amp~'oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40,00 $ 55,00 $ 80,00 see "B" above O~ners Name D. Branch Circuits Address ~23 Ci ty ~. Phone 7~:-2"o OVNER INSTALLATION The installation is being made on property I o~p. ~hich is not intended for sale, lease or rent, E. Ovners Signature: --------------------~----------------- DATE: . /G9/~/ie RECEIPT #: (f ~ /feLV . RECEIVED BY: .~~ 5. , , Ne~, 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 ~ith Service or Feeder Permit SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35,00 $ 2,00 not included) $ $ $ $ ~:: .t, :L-O ~ 5, J.. t:J 40.00 40,00 20,00 36,00