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HomeMy WebLinkAboutPermit Electrical 1994-10-31 :~ . .... " '._ ........ I The following project es submitted has the following zoning, and does not require specific land use approval. 225 FIFTH STREET !-})R. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoninp <-- .' /)LI ' INSPECTION REQUEST: 72~dl69 /O~~3/-C;~" Ci ty Job Number ~-+-/ f&?(;; ~ ' OFFICE: 726-3759 " . - \ ' Authorized Signature )J f!::J COMPLETE FEE SCHEDULE BELOV 1. :;:;0 ATION OF INSTALLATION ~~k" r77JAJ~ ( 1. , 'LEGAL:DESCRIPTIO~ ' ,/78 S 2.3 '~~, 19~/CJ-O JOB DESCRIPTION dV1:JzI- AZ~IY,r)c( 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 Electricai Contractor Address City ,Phone ' Supervisor License Number Expiration Date Constr Contr. Number .i . Explra tlon Date Signature of Supervising Electrician Owners Name. ~~ ,)C;W8?r) Address ~! Ci ty :)~~ '" ;; !J . Phone 7~7-?/...../S- .. I , ............. t OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ' Owners Signa ~eV a6,~Jd/f~~ ----------------.----;;7---------------- DATE: /0/731"7 rei RECEIPT #: (/:!: 2. $ 7 RECEIVED BY: /~ A-"'1. . 4. ' - - 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 B. Services or Feeders Installation, Alterations or Relocation: 200 amps 'or less 201 amps to 400 amp~ 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 Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to ,600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above ,. New, Alteration or Extension Per Panel ' Miscellaneous (Service/feeder -Each installation Pump o'i. irrigation Sign/Outline Lighting Limited Energy/Res Limi ted, ~Energy /Comm One Circult Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ~$ 35.00 ~ $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~~~ j,/J ), ~s- ?? ,8ID -/ '