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HomeMy WebLinkAboutPermit Electrical 1994-8-23 (2) :. e: The following project as submtlted has tho folio zoning, and does not require specifIc lend usa 225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning L-De-... r14fV'n n INSPECTION REQUEST: 726-aJ~9K~l3 -4-f C1 ty Job Number '-"'\ U..J4 '---" OFFICE: 726-3759 Authorized Signalure f1 ~ 1. LOCATION OF INSTALLATION . ~.l?74 ()nuJot:\., <f~INfjF)E1.A_ A. lrtf5~~ll~_ Ofl\o~ JOB DESCRIPTION v Fi;t::-"b~ e.. z. a~GJ.ITS -,:z, &FtR~ 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, CONTRACTOR INSTALLATION ONLY ~lectrical Contractor A~~ /' Ci ty ~ Phon/ Supervisor ~enXe N ~.r " ~,\ Expiration Date " ' Constr Number ~ "" / "'-. ,--; Owners Name R..);1='1r."f ::r IAvL"p I Address J,~ 74 /)~aNI7/'.h I Ci ty<6>a.'N? FJl?LJ ~ OVNER INSTALLATION Phone 21./.1, r}7L The installation is being made on property I own which is not intended for sale. lease or rent. Ovners Signature~ j) li40t!J:!b,~ ----------- -~-~~------------------ DATE:. .;'-).~q~ ... ^ AA RECEIPT tV:- )\~ RECEIVED BY: ~ ~ J COMPLETE FEE SCHEDULE BELOII New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq, ft or portion thereof Each Manuf'd'Home or 'Modular-Dvelling Service or Feeder B. 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 C. It ems Cos t Sum $ 85,00 $ 15.00 $ 40.00 v' <o.1Y $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see liB" above or Extension Per Panel One Circui t Each Additional Circuit or with Service or Feeder Permit ~ $ Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res . Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 2.00 41J: not included) $ 40.00 $ 40.00 $ 20.00 $ 3000 64. l ~