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HomeMy WebLinkAboutPermit Electrical 1996-9-26 (2) . - ". The ~oHov,ir.g pr~ject as ,ubrnrttod he:l the followi zei- :19, end doaa not require specific land uso ~PP{o\'~1. . Zooi"" L~ Dc:ld~.:!lfl ~ . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 974 N'thorlze-:l Signature 726-3769 'M ELECTRICAL PERMIT APPLICATION City Job Number qc:: /'2. '9 cr . 3. COMPLETE FEE SCHEDULE. BELOY 1. LOCATION OF INSTALLATION ;;l .~. ~ -:' (;LJ4v-6Qtf'e>- FA'1 LEGAL DESCRIPTION /?"C> 3-:2.-::2.- 'Y '" C' 7~ A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 2. CONTRACTOR INSTALLATION ONLY .B. . Services or Feeders . . . Installation, Alterations Electrical Contractorf 4jfcTe(c/1-wOc<J";'~...I,.4J,I Relocation: . Addres.s (f. D _ Gn-,c .<HIQ $ 'Z. 200 amps or less 201 amps to.400 amps 401 amps. to. 600 amps 601 .amps to 1000 amps Oyer 1000 amps/volts Reconnect Only / JOB.DESCRIPTION /5~//7,:F ~#...-9'~E F Permits are non-transferable and expire if vork is not started within lBO days of issuance or if work is suspended for 180 days. Ci ty ~'~J '-. Phone t, i'6 ~6d < J.... Supervisor License Number 3V9? C, Expiration Date /1)-/::"q'K . Constr Contr. Number )O;?t "I Expiration Date /1.. -..) 7 - 9 fa Signature. of Supervising Electrician 1;--'..:-AJ/-. ... . . ovner~ Name ,l?:,L../ rJu-r~ Address ,'1 q?; 7 0!4".:.L ~_ t:TJ City Phone OYNER INSTALLATION The installa t ion is being made on property I own which is not intended 'for sale, lease or rent. Owners Signature: ---------------------------------------' DATE:. 9:.. '2S'~ RECEIPT jI: .:? :7"=2 :::> /" ' . RECEIVED BY: .....--~~- ',v 1000 sq,ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular .Dwelling Service or Feeder 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 Installati'on; Alteration or Relocation 200 amps' 'or less 201 amps to.400 amps .Over 401 to 600 amps Over 600 amps or 1000 D. Branch 'Circui ts New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional CIrcuj t or 1.ii th Service or Feeder Permit $ 40.00 $ 55.00 $ 80.00 volts ~ee IIB'l above $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res . Limi ted Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL .. $ 40;00 $.40.00 $.20.00 $ 36.00 ~&>&> -:2 -5C> /, S"",.7 c;,- '7'. =~ . ..