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HomeMy WebLinkAboutPermit Electrical 1996-8-12 ~- The, following project as submitted has the followin zOning, and does not require specific land use approval, 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Zoning L ~ Dale ~. I '2. . 0Ue 974i'}q.horized Signature 1Vl 726-3769 1. ~'%WN <m...INST~ION c:;..~\\, ~x. ~Q t 1Q A. \,\~"S~IO () ~O~-~~C(\JIO~~ ~~l\\~ Permits are non-transferabl~d expire if work is not' started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INST~1fT(fN ONLY Electrical contractor~~~~' Address\)n ~N ~C\~. ! Ci ty 11 'Y) ~ Phone \O~ 0 lo23lCJ Supervisor L~ense Number ~~ Expiration Date \D. \ .R Constr Contr. Number f'J,!!Yf!! l 0 Expira tion Da te d rv!J) .C{ 74;: s:JJ:iLlectrician ~._ I) - fJ r\ners Nam .' ~ ./ (Addres~ l . \ lL~ _ Ci ty ~V:L ';hon:12!o f\(~ OVNE:'~~TALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~A~E~-------------I---,P; .;-:. -~qr;;--- RECEIPT #: ~ ~<-jb RECEIVED BY: \.......I!l/ ~ A.~ rJkf}Rt1 ~.. ELECTRICAL PERMIT APPLICATION ~i L)' Job Number (\ld)2:Q1_) 3. COMPLETE FEE SCHEDULE BELOY New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less' $ 85.00 Each additional 500 s~. 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 \ $ 50.00 5{) 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over, 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders lnstallation, Alteration or Relocation .200 amp~~r less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts 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 no t 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 $ $ $ $ 36.00 ~~ ,c:::.4 J..JU 40.00 40.00 20.00