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HomeMy WebLinkAboutPermit Electrical 1995-6-9 (2) ,- . ~. ----- -The following prqject as submttted .h..s the tcHowin!) r.oning, and does nQt roquilo tlpecnic 1!:H1tl (~~~ .pproval. pLA 7 Zonina 9477 ___ 17!l6.:3l6QI.o- i-<n Authorized Slgnatur. N IV\ .>. ) 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION D('J~~"; K4l>lc.H -71)5 'J"y,~~IS ST. LE~t6c:-rOM, ~ tJ1- , ,,~ JOB DESCRIPTION , --r;;~CC!o.4R)J SeR'lur IT: ~ C;7'\rJ!t~2 LI(:""'- 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 Electrical Contractor Address City Phone Supervisor License Number 'i023 S Expiration Date 1(')-1- 95 Cons t r Con t r. Number ^" /./1. Expiration Date ~" 1./1. Signature of Supervising Electrician ~~AL1),~ Owners Namelll;UA~/A..,J>; f'AR/::.t&-. Address t$M l~. -:u.~. Ci tYSf>RI~~I€t/, Phone 77...::-.,....~'" OYNER INSTALLATION 'j The installation is being made on property I own which is not intended for sale, lease or rent. ~.;:~, # ~t ,~,i,,~ Owners Signature: ~g. p. ~ ~ATE;----G1Ttl-rt?~------------------- RECEIPT #: ~Id'[l[ 1- L- RECEIVED BY: l , rr ELECTRICAL PERKIT APPLICATION 456lfQ~ City Job Number Gorrl'tETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling uni t. Service Included: It ems Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less I 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 ~t),;?~ $ 55.00 $ 80.00 see liB" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder.Permit ~ $ 35.00 $ 2.00 L.{,C;O E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 .",. Lf.,...., () IJ _ 7,2"" . 1.3"2- >f '/7.t:,2