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HomeMy WebLinkAboutPermit Electrical 1993-5-6 v ~~~ ~~ 225 FIFTH STREET '. L olY ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoni~9 '" q3fJ\~r-'r-:' INSPECTION, REQUEST: 726-;3769 rib /1 ") Ci ty Job Number . ' ,l/~ OFFICE: 726-3759, 'J "" " Au("orized signature__....:...3~COMPJ.:ETE-FEE SCIIEDULE BELOV 1. 'tAc;~ID, ' N ~l}~~~LU1;lQN " '. C\)~L-P ~~fJ/ L1~ A. New Residential-Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION Service,Included: . , 161 f.J3' \~Jf! ~~~A7!lw~ ~~ , 9' Permits are non-transferable and e~pire if work is not started within 180 days of issuance or if work is suspended for 180 da9s~ ' 2. CONTRACTOR INSTALLATION ONLY B. , Etectrical Contractor ,13, '/ 15 rkr!..Mc Address3/70 L0) /c)'C.; Ci ty E-iJ Ci(l--U.J; Phone 3t!3 -135 ~ / Supervisor License Number ~2F~~ Expiration Date /0-/- 95 Constr Contr. Number ;;2}35/ ., Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder d Cos t Sum to $ 85.00 05 $ 15.00 0( ') $ 40.00 200 amps or less $ 50.00 201 amps to 1.00 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 $ 40.00 200'amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits Services or Feeders Installation, Alterations or Relocation: C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date t.I~ 1- 9_s ~tu~ ~supervis' \~.){~;J ( ow:;s ~am~ m 0 ~f - ofJ ^-3 . Address ~5q JJtiiJJ ~4 J Cit\y _ ,p pt{J~, Phone 1() b- 30t1:;r OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. .Owners Signa ture: ~~~;~-----~~-0:q0~-:-':~=-- RECEIPT ff:....-/ """--:::U' _ n~() RECEIVED DYC=1['/X.A~) - $ 40.00 $ 55.00 $ 80.00 see liB" m above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permi,t E. .5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ $ $ $ L~CS~ ; J,..!1S- L~).~ '~ 40.00 40.00 20.00 36.00