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HomeMy WebLinkAboutPermit Electrical 1998-2-2 ~. "", e. 0 owing project as sub . .:zonmg, and does not rGq"l' mml!ld.~61s tl1-{~ tol/owing e!pprovaJ. Ilye ep0Cmc land Use . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Zoning fYlttv Date ?/l-CZ~ 9 7~'?rlzed Signature /v }'V\ 726-3769 1. . LOCATION OF INSTAL~~T+ON 1- bZq/ f/ GZ83 !-?TeIL ~ 7' LEGAL DESCRIPTION I')...e> 2 -~7'- ~v. ~/~~ . - . , '" - ELECTRICAL PERMIT APPLICATION -(;;i~tyJob Number q ;?./ '3>< 6 3 . COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: JOB DESCRIPTION r 1000 sq.ft. or less ~)l?il) j) UIOI/?// T~pEcF&:T- Each additional.500 r ,sq. ft or portIon Permits are non-transferable and expire thereof if work is not started within 180 days Each Manuf'd Home or of issuance or if work is suspended for Modular Dwelling 180 days. Service or Feeder 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor 6tJl1'('fr{lL GVL~f Address '30? l)b '/DrLft-:: i!.Lf Ci ty~{)fI-~&€ h-;fJJoP_ Phone' qC;z-t/-?lJ8 Supervisor License Number 1t?41~/(? Expiration Date u91 l Constr Contr. Number /1J4fSl/L? Expiration Date ~~q / "I Sign~~~ElectriCian own~rs Name ;gIll t/ Mf1;(i /60tA?7J11/t /-,/ Address 3D717& {OiLH-lil~ z;; Ci tY(fJl!t!tkP GJt.lJtP Phone qt.j Z-'l1)O/J OVNER INSTALLATION The installation is being made on property lawn which is not intended for sale, lease or rent. Owners Signature: "---~-----------------~----------------- DATE: 2-<:"'" "7~ RECEIPT #: '...--;;; ~/~ RECEIVED BY~ ~~ ,B. S~rvices 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 costk~ $ 85.00 .~~ ' "3 ~- $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 imp~'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits / $ 40.00 CjO ~: $ 55.00 $ 80.00 volts see "B" above ,. New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) 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 $ $ $ $ L(D- 40.00 40.00, 20.00 36.00 z... - / ,ZJ) U'Z"tiJ L -