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HomeMy WebLinkAboutPermit Electrical 1998-2-26 -, , . . I 1iie followlng project 89 oubmll!Ild has the IoIIowtng zoning, and does no! requlre apeciIic land use lIpproval. ZonlrlQ ld. Y 225 FIITH STREET bme?/...u" 1';.{ , ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON ~ $lgn&ture...lL M INSPECTION REQUEST: 726-3769 .:.;. ty Job Numb~r ~40~~ OFFICE: 726-3759 3. COMPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLATION -5" ?"!? ~c.7"#~ ~ - New Residential-Single or Multi-Family per dwelling unit. Service Included: A. LEGAL DESCRIPTION /;>"",,]1-24/-2."3 O/I!?t:>/ " , /. J~ DESCRIPTION ...Yf'//7f(~,;z:-~ "'7~~P'S Sum I.t ems Cos t .. 1000 sq.ft. or less -I- $ 85.00 &:::2. ~~ Each additional 500 sq. ft or portion thereof '2 '$ 15.00 ~p_'-"'" Each Manuf'd Home, or Modular, 'Dwelling Service or Feeder $ 40.00 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 ~O ,B. . Services or Feeders ~ Installation, Alterations Electrical Contractor ~./~' . t'~. or Relocation: ...... - ...~' 'IT.' ,,~UrItOl"o '!I1/r s. 200 amps or less -v4(4f.s '~t:D'u. ft-'lll2Jl.l amps to 400 amps Phone -'lNv.. N~ ~D~~~/~~ps to, 600 amps 'aoO o~ ~ 'um~h~o 1000 amps 1'/ y ~.s /S ~(pv~~EplJf18pw-'s / vo 1 t s ~/OD ~8n~pr\'l'W.t , ~~D lSNO C. Temporaf~~er~ices or Feeders Installatlon, Alteration or Relocation $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Address I- City Supervisor License Number Expiration Date Constr Contr. Number $ 40.00 $ 55.00 $ 80.00, see nBIl above 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Expiration Date Signature of Supervising Electrician Branch Circuits D. Owners Name~~--:4 W#//6/ Address /1?16'-7 ~~~- City p~~ Phone "3~~~?> 7 ,. O\INER INSTAL~6':~ .' New, Alteration or Extension Per Panel $ 35.00 One Circuit Each AdditioDal Circuit or with Service or Feeder Permit $ 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 'C:;. /$"' 3% Administrative Fee ~. '/~ TOTAL -PC! .20 The ins talla t ion is being made on property I own which is not intended for sale, lease or rent. Ovners ~ira~ure: ) ~ \) ~ fAA... {.)J.J\ (' ~~E~----------------~~n~~------ , RECEIPT 11: \J.......,.. n 1\ A n .L /! RECEIVED BY: \,\\1...:0. _' tJ-..~