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HomeMy WebLinkAboutPermit Electrical 1995-8-7 . I The following project as submitted has the following zonin~~, an,':~ (l.:;S'9 not requiro speciiic If Hid use approval. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 L. D 1Z-- Zonino 9;i~k69'l</7 --15 , Authorized Signature. rJfY\ 3. 1. LOCATION OF INATALLATIO~ , _ "33l q "S6u-n+- ,~ooQ . ~ LEGAL DESCRIPT~N [.?r- q~ ! O~ 11. JOB DESCRIPTION /V ~.FZ Permits are non-transferable and expire if vork is not started vithin 1BO days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor 4,vB1.J :GL!2d.Cb 3.2Z2 5/'; Address J.2 ~ V1J Ci ty M#])J2Ac:; Phone .Lj7C-:J..J}'l /,,:)<::!:>~ &r Supervisor License Number Expiration Date /0 -/ ~ 5',S- Constr Conte Number d::>$ :?~S- Expiration Date 7~LJ-qC Signature of .(1~L~ Supervising Electrician ~-~.--~-/~, D. Ovners Name -1I~l>A..u Ed ,~C', 'r"i f 5."5;2 -d 5>1'-, Ci ty <;cn::::.l..,) / -- Address Phone~J.J -,&,9~ .{)\lNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: --------------------B=,r-. ------- DATE: .' I'~ RECEIPT D: ~_LL-'" -" J<:<'f,.l\4- RECEIVED BY: (/\~'~ ELECTRICAL PERMIT APPLICATION City Job Number Ch7J7r?7 COMPLETE FEE SCHEDULE BELOY A. Nev Residential-Single or Multi-Family per dvelling uni t. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 ~ Each additional 500 sq. ft or portion t 'btJ. / thereof $ 15.00 Each Manuf'd Home, or Modular'Dvelling Service or Feeder $ 40.00 ,B. 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 $ 40.00 201 amps to 400 amps S 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circui ts " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 S 2,00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm no t included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 lI~on r-. .'1 f1 ~ SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL