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HomeMy WebLinkAboutPermit Electrical 1995-2-2 . . ~ 7 D3 Z 5'"(( 3Cv9o SPRINGFIELD ,.., I, .'1 The following project es submitted has the fo1 zoning, and does not require npecific land use 225 Hun STREET approval. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning L-D/2.-- INSPECTION REQUEST:. 726-3769 /' OFFICE: 726-3759 Date '2/L-CJ"> Authorized Signature 3 .I\f'FItHPLETE FEE SCHEDULE BE LOll 1. LOCATION OF IN~TflLLATION 1..0:J~1' r-,::tt, \'UU.. A. New Residential-Single or Multi-Family per dwelling unit. Service Included: JOB DESCRIPTION ..~ I r\.fi\I '" '1-\)1 iff\Nl\~ \ , .h\M \ 1M l\1L J..o nt.AAJ 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~~~ {J ~D..ct~11I \ _, Address P.D, W, \4-~1-, Cit~~c\.irN0l);a~rl' Phone~-1'J-% Supervisor L~~ense Number IIn \l h 51 ~:DESCRIPTION 170:)Z.5l-j~DOqO 1 Expiration Date IO-I-Q5 oM,l.j.q q-l-q5 Constr Contr. Number I Expiration Date Signature of Supervising Electrician ;a~ a.'/~ Owners Name _~....I '"" <\ t": --to 0 , AddressjD.')rf~~, (In!. Cit~rM)L.O~d.l Phone~q- toti2.Q OIlNER IN~ALLATION . The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~--------~I'~/-~~--- RECEIPT II: /(,1).:1 .10 RECEIVED BY: tf' >r"......., City Job Number 7' ,O'-DJ' Items Cost , Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular. 'Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 $ 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 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 ~o $ 2.00 ..AQO 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 5% State Surcharge 3% Administrative Fee TOTAL /I"I.OQ 1,$35 I. II ~q. q /..,