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HomeMy WebLinkAboutPermit Electrical 1995-10-17 -e . SPRINGFIELD n~f~ fC'li!:;:'Yliilg p:oiect as sub 2 '"1::10, ~nd does' not requl mtttad has the folloWi r-pprC'.af. fa SPectflc land Use Zoning L D f2- 225 FIFTH STREET Dete (0.... I 7 ~q __ SPRINGFIELD, OREGON 97477 ' I INSPECTION REQUEST: 7261<:fmedSlgnature Ai fV\ OFFICE: 726-3759 1. LOCATION OF INSTALLATIOf ' J 7/-0 4/4 7AAw) !I~. LEGAL DESCRIPTION )7/J '4 27 .'< / /:)10/ t:rY? JOB DESCRIPTION ""j,j= --f~. 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 Contractor1mj PlllrlttL ~ Address P.O. W ~z... City~ Clbf- Phonetffl".~1 Supervisor License Number .~~~~, Expiration Date lo-q.;- Constr Contr. Number 2.D.- i'6?("" Expiration Date_ to -~6 Signaturc1)f ~pe~Electrician / T~~ --- , ,'. _ .//. D. Owners Name 1f7t>'3/ ~ ~ (l7/Q;?H;f.//jt-- Address City Phone 7~/-/7~? OVNER INSTALLATION The installation is being made on E. property I own which is not intended tor sale, lease or rent. Ovners Signature: D~TE~------------ITJ-~l~-~(1::;--~---- 5. RECEIPT 11: ' ----;- -\ ~ RRr.F.TVRO flY: ~ ELECTRICAL PERMIT APPLICATION Ci ty Job Number 9, S- //01 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 t..---- $ 85.00 ~5co $ 15.00 $ 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 Installa.tion, 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 100u volts see "B" above Branch Circui ts .' New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 35,00 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm not. included) SUBTOTAL OF ABOVE 5% State Surcharge 3% Admi,nistrative Fee TOTAL $ $ $ $ 55CJ-C 4-,~:> z..rr a/.~v 40.00 40.00 20.00 36.00