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HomeMy WebLinkAboutPermit Electrical 1995-7-20 Uv&r3 . - Tho fOllowing project 05 tllbrnKted h:;>,!.: !h:,) fl)i1ol/Jing zoning, 8nd 0003:' not requlrtl Gp6\:iflc iBnd W~6 225 FIFTH STREET approval. 17 ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonina L-Diy- CI'. INSPECTION REQUEST: 726-3769 in,~)' Ci ty Job Number _/ '5/J53% OFFICE: 726-3759 Dat"~// '1,1' 1. LO<;A.lION OF INSTAL0;ti(f~od Sign.lur. \'I MJ. COMPLETE FEE SCHEDULE BELOY /.:59b //A/c sr: A. New Residential-Single or Multi-Family per dwelling unit. ) >(3~ DEmPT~ I q(:5C(' Service Included: Items Cost Sum $ 85.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Mod.ular,' Dwelling Service or Feeder JOB DESCRIPTION -r&.#JP &Ed7'/t'SMvlt:& $ 15.00; " 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 '. $ 40.00 Services or Feeders Installation, Alterations or Relocation: B. Electrical Contractor . ~~~ t'~ ~;>- Address ;P.P,.d?A' ,2,31:5"1/ Ci ty E-IIU#t:-- Phone 3~9' ~;tf' $ 50.00' " $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Supervisor License Number ~~~~ Expiration Date //J~/~95 Constr Contr. Number~ Temporary Services or Feeders Installation, Alteration or Relocation C. $ 40.00 4/),l/t') $ 55.00 $ 80.00 see liB" above 200 amps or less )( 201 amps to 400 amps' Over 401 to 600 amps Over 600 amps or 1000 volts -5'-/6-96 Expiration Date Branch circuits D. Owners H;J .&/?..I~ Address 747 p S-n:ze&- / Ci t~O.vU')d1~(IJ'hone /2- (/ - ()! 57 OIiNER IN~LATI~N New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40,00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ~p.Ot' 5% State Surcharge ~.;;Z"'~2.YJl 3% Administrative Fee TOTAL The installation is being made on property I own which is not intended for sale, lease or rent. " Owners Signature: ----~--~----- . ------------------ DATE:L~ vO ~ 'j'J RECEIPT #: 0/9;5 K') . RECEIVED BY: ~~,...-. (j