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HomeMy WebLinkAboutPermit Electrical 1995-8-4 . Th. 'oll<;wing project :oning, and doea not ~;~~'"s1ttBd'f~ao th~ following pprovel. pec! Ie !and iJ~a Zoning~ L 974f';/o-2:!J -CIs. .Juh 72b~3'7"if9d Signatur.-lI~'- 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION ~$' r~N' W1Iy LEGAL DESCRIPTION /$'d::? ~ S-' /2 .t?':;>";\::s'r , JOB DESCRIPTI.Q!!. "'7:>., ~ .7~_.~""""~":;",,,,,C Permits are non-transferable and expire if work is not started vi thin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACfOR INSTALLATION ONLY Electrical Contractor ~/~;"":'~ Address Ci ty Phone Supervisor License Number Expiration Date ,,~ ELECTRICAL PERMIT APPLICATION " Ci ty Job Number tC}'3/2SBa 3. COMPLETE FEE SCHEDULE BELOIl A. 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 Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installa~ion, Alteration or Relocation 200 amps' 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80:00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits . New, Al tera t ion or Extension Per Panel Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name #"I>~ ~~Ll.#~ Address ~4jig~;Y /;h9~ Ci ty 4~ ~ Phone 7Y?-727;1 , 'T' .,?'~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~~~~m~ ---------~---------~~-~- - -------------- DATE: $/~/ 5'...r RECEIPT fit / 5'".,. 15 RP.r.F.TVRO BY: ~ A..-...... One Circuit Each Additional Circuit or vith Servic~ or Feeder Permit ~ $ """"---$ 35.00 ~ 2.00 8.- 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 not'included) $ $ $ $ 4/3. -:if> , ::?~ z,i.:37r 40.00 40.00 20.00 36.00