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HomeMy WebLinkAboutPermit Electrical 1986-11-12 " J The fOllowing proj'" t ~ 'b' '., ' toning, and does ~~t~; S.,. ~mt!ed, ~a.s. the !ollowing , ' approvaL ' qUlr~ speclflc.land use 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION ,REQUEST: OFFICE: 726-3759 97477 ' , zoning~L6e ; 72 6~'r!lI6,9.,lL-<1 L.:..9 (p Authorized Signature "JJ. M , , 1.' LOCATION OF INSTALLATION' 1.~.H}D Dx. /.J:bu\\~', ' LEGAL DES&rPTI~N " I?~ .:2~- ~~ <!')6/~$/ , , A. ,. , , JOB DESCRIPTION ' Jp~)~~ I~){~~~~ " Permits are non-transferable and expire if work is'not started within 180 days oCissuance or if wo,rk is suspended for ~80 days. 2. CONTRActOR INSTALLATION ONLY ,B.' Electrical contrac~orc.,iS e~~'l~' : Addresi P,C). ~ it.l-~~ I '-" Cit~f\)~a!. Phon~J41-~1:~~' Supervisor License Number l b ~ to S I -:- " 10 .-'1 -q~ 'Constr Contr. Number b3~4q q ~t - q '1' Expiration Date Expiratio'n~ Date I ' Signa,ture' of, Supervising 'Electrician d~--c:r ~/ Owners Name '0~,~',~ ) lQ'~ ' ,Addr~s~' 40'<2, l$).' ,~rr\J) II 1-, , ',' Ci ty ~p~Ph~ne ~h,- ~'t2::-> ' O~R INS~ALLATION' , , ' , I The installation is being made on" prbperty, I own whi~h is not i~tend~d for sale, lease or rent. Ovners Signature: :. ;. '. , \ .. . ,- -----------------------------------~--- /I-/Z-~ ':2 '"-3;?i:" Y , /Z~ '//~-- -,' DATE: RECEIPT 11=: , RECEIVE;D BY: ELECTRICAL PERMIT APPLICATION City Job Number ~?.2. 9- ... -. ~ - , ' r-OMPLETE FEE~ SCHEDULE BELOV New Residential~Single or Multi-Family per dwelling unit. Serv{ce Included: ' Sum Items ' Cost 1000 sq.ft" or les's $ 85.00 Each additional 500 sq. 'it or ,portion, thereo,f $ 15.00 " ' Each Manuf'd Home. or Modul,arDwelling - - :'$ Service or' Feeder 40.00 Services or Feeders I~stallation,Alterations or Relocation: ' 260 amps or less 201 amps to, 400 amps ,~Ol amps to 600 amps 601 .amps to 1000 amps Ovei 1000 amps/volts Reconnec~ Only' ' $ 50.00 $ 60.00 $100.00 $130 . 00 ,$300.00 $ 40.00 50.00 C. Temporary, Services or Feeders Installation, Alteratipn o~ Relocation 200 amps"or less 201 amps to 400 amps , Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 ,$ 80.00 volts see "B"above . D.Branch Cirduits ,. New, Alteration or ,Extension Per Panel One '~Circui t Each'Additional Circuit or'with Service or ~eederPermit , ' , $ 35.00, $ 2.00 E. Miscellanecius (~ervice/feedet hot included) -Each ins~allation - Pump or irrigation S 4~.00 'Si~nfOutl{~~ Lighting' $ 40.00, Limited Energy/Res $ 20.00 Liinited Energy/Comm ,$ 36.00 5. SUBTOTAL OF ABOVE 5%,State Sur~harge 3%Administra~ive Fee TOTAL 50'.00' 1. 'So I.So 5'4-.00 ", \ ,