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HomeMy WebLinkAboutPermit Electrical 1996-8-1 ---- The following project as submitted. ~a$ the foil zoning, and does not require specifiC land use approval. Zoning (\I1A2J(... 225 FIFTH STREET Derte~I"ctlP_ SPRINGFIELD, OREGON 9 7 4 77 -Au1h r1 ad Signature V(1V\ INSPECTION REQUEST: 726-3/b:Jo Z " OFFICE: 726-3759 1. LOCATION OF INSTALLATION 44'1 ~ Curto rLJ 11 oGr?DI~PTD~ 1JR) JOB DESCRIPTION ,l,~f\..O_' ~~n~~ Permits are non-transferable and expire if ~~rk is not started ~ithin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLYB. Electrical Contractor (~~ 8~ l;~. Address p, O. ~rrJJ l~g1-. Cit~J~ilit} Phone 141-~1.% Supervisor License Number ~~ Expiration Date 10 -1-q<6 Constr Contr. Number 03gttQ Expiration Date q-I-qb Signature of Supervising Electrician ~U"~ ~ D. Owners Name 8 Clr\J_, tf1' (\~-" Address 4~1 g ().Qto rL> , CitY~.r\1~~Phone'141n"";5b~3 OVNER INSPllLATION . The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: , ~~::-:~~~-~=~~-------------- RECEIVED BY: .~_.:::Vv<-OL {J ELECTRI~AL PERMIT APPLICATI~~ j City Job Number q &/0'/17 , 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 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 100a 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 $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits ,. Ne~, Alteration or Extension Per Panel One Circuit Each Additional Circuit or ~ith Service or Feeder Permit $ 35.00 35.00 $ 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 35.00 I. rt 5 1. ()~ ---3!l. ,$? 0