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HomeMy WebLinkAboutPermit Electrical 1995-10-3 The, following project 86 submitlad nr.~' th0 "-,1'" .In., zoning, and doe:; not reqlJili6 sP';""Ii'!'lc"I'~n c' L'J:,I.N'SPRINGFIELD ,~t".'\f. \I~ ....... t,;I., l ~j~g . Date \a.~ 225 FIFTH STREET ' Authortzed S1gooture r'J. 0 SPRINGFIELD, OREGON 97477 ' :~'~ INSPECTION REQUEST:, 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION f.3 '/ 0 /\;) .7Of:<.. . LEGAL~DESCRIPTION / 7 rJ 2 "1 2 :1 / ~ 7~/.? ,JOB DESCRIPTION . RLVI/tzY9 Ft-I-<?A./Ac!.t:; I 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 Electrical Contractor I3IN#$ e~ Address Z/OW7"t:U/~ '# c.. ' City Eu~Cit/e Phone ~S1-13tP2- Supervisor LiGense Number ~~~/ 5 Expiration Date I(:)/I/'S Constr Contr. Number 7~ 7~2- Expiration Date ~;I~~'~ sitl:LueL~=ician Owners Name )k/~J.A,/N,.e/( Address City Phone b~(O-5/03 OVNER INSTALLATION The installation is beirig made on property I o~n which is' not intended for sale, lease or rent. Owners Signature: ~~i~~------------;;2'~~~=r~---------- RECEIPT #: 171 ~ ~ /7,~ 1-- ' ,n-r;<"'T.'T~ron flV. A::f/ . ELECTRICAL PERMIT APPLICATION City Job Number 9 5/5-~c:/' I 3. A. COMPLETE FEE SCHEDULE BELOV New Residential~Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each 'additional 500 sq. it or portion thereof Each Manuf'd Home or Modular 'Dwelling Service or Feeder 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 Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 "':0-.. '. C. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel " One Circuit c----- $ 35.00 I<SOlJ Each Additional Circuit or with Service or Feeder Permit $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 35.&0 },7J /os ::-:< -;7, <;!J 0 .~