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HomeMy WebLinkAboutPermit Electrical 1996-10-17 "\iGFIELD .. 'fhe, following project as sUbmitfed nStS +h~ fr.'1owing zoning, and does not require sp0~iii';; !:snd l!.;e approval. . Zo'ning-!Y1fJf!- ( 1.t:\ 225 FIFTH STREET . Date/fJ -/1 ~(C/ SPRINGFIELD, OREGON 9,7F7 ",,<,,' l aiM INSPECTION REQUEST: A'j2~ETio91nature ,., . OFFICE: . ,726-3759 " 1. LOCATION OF INSTALLATION "< ? 3 '3 8A-L) V] /h~ (,' / - LEGAL DESCRIPTION /705 2-3 &-0 CJ@(;;;OL, JOB DESCRIPTION ~r ~~t"'~ frt;.1.. I/M.(~ /J!NZ5 r - ,. 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 ,B. Electri"cal Contractor \JeL\.lv ~ fleS~tlc. Address fD. ~O/l: 1;9~ Ci ty f~JelVt ~14Cl Phone CJ'j ~ .. 5"303 Supervisor License Number ~~I~ 5 Expiration Date /O-\-Lf$" Constr Contr. Number crq S-ltt Expiration Date ~ .20. <lb Signature of Supervising Electrician b-~ Owners N~me' ~~ (7/MI, Address 3 i..( 0 S eo t d 1I \);-1> (11 1..-. h \ City~Y\f~l..J Phone ~~~-@,l,~f OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ------------------~~---~------------- DATE: /0/ /7/70 . ~l,t.J.i?T #: I ":2-.5 5& ~ RECEIVED BY:~/;:r'Z \ . . '. ',?":';::"., ELECTRICAL PERMIT APPLICATION 9 (p(::lC) ] 7' l;;ity Job Number 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 $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular. 'Dwelling Service or Feeder $ 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 1000 amps/volts Reconnect Only L-- $ 50.00 g;r~ $ 60.00 $100.00 $130.00 $300.00 $ 40.00; C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1090 volts $ 40.00 $ 55.00 $ 80.00 see "B" above .'~ D. Branch Circuits ,. New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 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 50 (H) 5% State Surcharge ~.5,o 3% Administrative Fee /,~O TOTAL ~ 4.tJlO ...; { " ::',"i::>>':