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HomeMy WebLinkAboutPermit Electrical 1993-12-20 ~~ ~T,> "..-.". .....- ..1; \~IJri T' ~'''':!!'wirq nroject as submitted has the following , i" ';,;.,,;<; not require specific land use 225 FIITH STREET ';"i";i"at~ "",., " ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 L, ~ INSPECTION REQUEST: 726-'~69'bJl"- Ci ty Job Number 9 ~~5 OFFICE: ' 726-3759 ",". )\:\...... """""r _rv~' us, e rl <:::}\;J .., , 3 COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INST-MJ'-gnature ,~__ . h,79.3 /!./Ub?L45 ~ ' LEGAL DESCRIPTION J7c; 2, ~.."t 4. 4- , . t, &,a S' JOB DESCRIPTION ':3/il4t~ .~; ~/()~ Permi ts are non-transferable and expi~'e if work is not started within 180 days of issuance or,if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. E~ectrical contractor~I/~/~(: ,,, Add ress P (') ~-()X u4 ' Ci ty ~}(dtPrv; de-. 'Phone 7L{c..{ 07[17 Supervisor Licen.se Number ,2{;,&&-') Expiration. Date /(J '--fll..-qJ Cons tr Con tr. Number (3cr:t /3 Expi ra t ion Date '0 - LL{ -Cj;;, " Signature of Supervising Electrician ~.~ Owners Name /J?IKc c;/f,.( )~t3-A.J Address City ,Phone , OVNER INSTALLATION The installation is being made "on property I own which is not intended,' for sale, lease or rent. Owners Sigpature: --------------------~----~----~--~~---- DATE: M\"IHt:'I i: 'RECEIVED Bi: ./;2 ~/~-93 ~ ~ ,- A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000'sq.ft. or less each additional 500 sq. ft or portion, thereof Each Manuf'd Home or Modular Dwelling , Service or Feeder 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 Re~onnect Only Items Cost Sum t.--' $ 85. 00 ~5 e)-{) 2- $ 15.00 .3&> ~ $ AD. 00 S 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ' 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 - i___ $ 40.00 4cJ r CTO $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel $ 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 D. Branch Circuits One Circuit Each Additional Circuit or with Service or Feeder Permit I "'S dO /v ~ . ?r 7S" ,/ (;Or' 7.s-