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HomeMy WebLinkAboutPermit Electrical 1996-3-5 . 13-1P - ,p- '9 ~ 1(, 1 J!- 'Ubmittacl has the following The following prOie~ ~~uire spacKle land uGO zoning, and does n 225 FIFTH STREET approval. fJ ~ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning \.....: . INSPECTION ~QUEST: 726-3769 --:>~=::\111 ~ City Job Number 95/6"'/2 OFFICE: 726-3759 Oroe ~\.)\ ' . . ; ;ed SignatUl'El_J ,~r~:..:rPE'-t.t..t. "SCHEDULE BELOY 1. LOCATION OF INSTALLATIO~ut 0 . / 03 ///~ d2 S'l- s;o.h A. New Residential-Single or ~ Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: //-c:>:r-:??'~/ ~ .Q'd/~c.? Items Cost Sum . - r . / JOB DESCRIPTION 1000 sq.ft. or less $ 85.00 ,/~ ('!iO?1SH-av'OM Each addi tional 500 sq. ft or portion Permits are non-transferable and expire thereof .$ 15.00 if work is not started vithin 180 days Each Manuf'd Home or of issuance ot if work is suspended for Modular Dwelling 180 days. . Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY Elec trical Con tractor 7'7-1t?I(VToJ etEi::7/(/C' Address p.. c!), 13*- 60'/-1 Ci tyE-Uq. Phone 102(p.-1b;)~ -J Supervisor License N~mber 301 7 ~ Expiration Date 1& t" 1- 9' 6- Constr Contr. Number <!;).J5roO , Expiration Dat:e /c!J--r-C)?- Signature o~~an '~-I , D. .owners Name?~~,~7.r~~ Address '2~.~Cr.B'/~./Y'~ City 6'~~~e Phone OVNER INSTALLATION The installation is being made on property I own which is not intended' for sale, lease or rent. Ovners Signature: DATE: RECEIPT #: RECEIVED BY: -=?-:-5''''~ ~r~Y ~k--~ r// .B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps I $ 60.00 4;:> C> ~ 401 amps to 600.amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps'~T less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 Lfc9- $ 55.00 $ 80.00 volts see "B" above Branch Circuits New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additionai Circuit or with Service - $ ~c::> ,-... or Feeder Permi t '/ 6 2.00..:::> 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 /~.' eI62:> c...Sb .~.9&>> /.~C;. ?TO r .