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HomeMy WebLinkAboutPermit Electrical 5-8-30 The. followi~g project as submitted has the following zoning, ana ea'1lo~quire specific land use approval. VI,--.;" . ~.-- J 0- 4 \ ZonlnrP--N-r/t_ 225 FIFTH STREET SPRINGFIELD, OREGON 974 7701:'.te INSPEctION REQUEST: '.726-3769 , OFFICE: 726-3759 Authorized Sig1laiure . City Job Number ELECTRICAL PERMIT APPLICATION 3. COMPi.ETE FEE SCHEDULE BELO\[ ,?~e::::>?9~ 1. LOCATION OF INSTALLATION /h~ AI --:;;~~~r LEGAL DESCRIPTION . /?,C' 7- ~&~.::<>/# t::' S ?dO A. New Residential-Single or Multi-Family per dwelling unit. Service Included: JOB DESCRIPTION ff~? ~ ~~~C-~ ~~3-~ , . - - .. ... '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 B. Electrical Contractor~~b1.~--, Address ~\~f\ \.\~ ~\J\JlOrL Ci ty.llt).\:~ Phon;\\\o.L\\cKJ\.D supervis~r 'license Number 6\,\9)2, \\l' \. C\5 Constr .Contr. Number L\~\1L-<=\ ~ r-t~ , 4.(0 Expiration Date Expiration Date Signature of Supervising Electrician i 0iu!Nnet.h /: dvc/1tn&'1Jffi D. Owners NameM~E~/~-W~~/?H.7/~ ' Address /y~a c::; ~ Ci ty_?P~ 9.?y?/Phone :?;~<~;V~ OVNER INSTALLATION The installation is being made on . property I own whi~h is not intended for sale, lease orren~. ' Items Cost 1000 sq. f t. or less $ 85.00 Each additional 500 sq. ft or port ion thereof $ 15.00 Each Manuf'd Home. or Modular Dwelling Ser~ice or Feeder $ 40.00 Services or Feeders In~tallation, 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 Sum $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits / $ 40~00 ~~ $ 55.00 $ 80.00 volts see "B" above ." Nei, Alt~ration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Ser~ice/feeder not included) -Each installation Pump or irrigation $ 40.00 Sigri/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 Owners Signature: E~~~:;~~~~?P~----. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL v</? . ~ . _ea '2- /.~ ~. 2-<::L