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Home My WebLink AboutPermit Electrical 1994-5-9 . _. ~ SPRINGFIELD ~ . The. following project as submi'lter.:l h3-.'l the to zoning, and does not require specific land us approval. ELECTRICAL PERMIT APPLICATION 225 FIFTH STREET SPRINGFIELD, OREGON 97477 Zonlna LpfZ. INSPECfION REQUEST: 726-3769,te-5-4-q~ City Job Number 4 Y t!!J Y/k ? OFFICE: 726-3759 . ' r' , Authorized Sign;:,t\mU'S.O-_:..COKPLETE FEE SCHEDULE BELOV 1.' . LOCATION O,LINSTALLATION . . . ~~ b/.A' /c.. y - RV.../I' A. New Residential-Single or , . ' ., r. ' / 'f~':U Multi-Family per dwelling uni t- . LEGAL DESCRIPTION Service Included: 1/~A-3'3..Yt;.( ~/~~ . r ", . ...;rjlBDESCRlPTIO' ,I _,....-:: /#~./CE /).....;...?~ ;?~~ r .., ,... - 1'1 - ....- Items Cost Sum - . . . Permits are non-transferable and expire if work is not started within 180 days .of issuance or if work is suspended for 180 days~ 2. CONTRACfOR INSTALLATION ONLY Electrical Contractor ~~~~ (...../ ~. , r --: ") Address 1000 sq. ft. or less Each addition~l 500 sq. ft or portion thereo.f . . Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 --- $ 40.00 '/0 '- B. Services or Feeders Installation, Alterations or Relocati.on: City. Phone 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 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 . Supervisor Licen.se Number Expiration Date Constr Contr. Number C. Temporary Services or'Feeders Installation, Alteration or Relocation Expi'ration Date Si~ture of Supervising Electrician 200 amps or less $ 40.00 201 amps tQ,400 amps $ 55.00 Over 401 to'600 amps ,.$.80.00 Over 600 amp~_or 1000 volts see "8" above D.. Branch Circuits .,~ pwners Na,me ~~r~'-L ~~ Address '1?(9.. ~X 2~ <;/ / .' . City~~.~ 'Phone'Q) Ye> '2- . OWER INSTALLATION . . . New, Alteradon'orExtension Per Panel . , 'On'e Circuit' .Each Additional' .' Circuit'.or vfth Service. or Feeder 'Permit $ 35.00 $ 2.00 '.. I'. . . '.~e~s. Signature: ...,: .';. . . ':..' '.: ~ ,',' . : ...,;" E. . Miscellaneous (Servic~/fe~der not included) ~~achinstallation . ruinp or, irrigation '$ AO.OO Sign/(h.1tlJn,~t.lghHng..$ 40.00 Liini ted Energy/Res , .-$20..<;>0 ,L'iniitedEnergylComm '," $ .'36.00 .. .::. "', ': '.: .~~~-, 5.. SUBTOTALOF~ABOVE 5% 'Sta te .surcharge . . . '... ,T()TAL :.: . . . . . . .<<' ", " , . .' ';'" :. ~., ", " , . . ,., "-0' . oiIC' Y? · ,--,'. , The. installatioi:t isbeirig. 'made .on.. property;r ownvhich is not intended for sale, lease or rent. . ," . '., . DATE: ..' . f""-:y...71~ RECEIPT .. / -/,-,~ ,,\""'.." ..:' .--j.. ....~'~._~..,...\.. 'RECEIVED BY: /./~;~._.. ,~-=-.