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HomeMy WebLinkAboutPermit Electrical 1993-10-5 -/" e 0 0... " }.. \.It:"~..... "". ,. . r- zoning, arc:i ,J _'c" not reqLlire specific land u... appr;wdL 225FIFTB STREET Zoning UDJ-- SPRINGF'IELD, OREGON 97477 \ 0 (.tA"?) INSPECTION REQUEST: 726-3769..;a----1-=-~:.\;.L- dAJ, ^ . OFFICE: 726-3759 Authorized Signature rtW"----- 3. COMPLETE FEE SCHEDULE BELOV 1; LOCATIO!f, OF INSTALLATION ("""") ,.:?b5ZJ5" /;5ra-nd. "S"~ - ~bC:bL .; ~ LEGAL DESCRIPTION } q 0:2 i '" 000 100 I . JOB DESCRIPTION ( fLS -kll tYt-rrt er f; ecJ- pu V<n ra 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 " . Ele~trical Contractor ""I Address', I ~ Phone City "" Supervisor License Number .'- Expiration Date .~ Constr Contr. Number ~ ~. Expiration Date .. Signature of Supervising Electrician .. Owners Name' '4.hi1-1-: K~ f' I/e.. <2- , / ' Address 00S7J~ A:Jl'1:U2d s: ~ J CitYI~ rU1C1.c(JicL Phone ~4'7-~.!/5;- ~ II I J OWER INSTALLATION The installatiori is beirig made on prope~ty I own which is not intended for sale, lease or rent. 0Wn~ Signature: I:1Ujl~~X "L5JAAk , I ' DATE~------~---'01~J~7~--------------- RECEIPT I: ' j () l.()";). RECEIVED BY: ap, ELECTRICAL PERMIT APPLICATION Ci ty Job Number 03 ) yq~ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 110.00 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 $ 40.00 $ 55.00 $ 80.00 vol is see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circui~ $ 35.00 ~S,OO Each Additional Circuit or with Service or Feeder Permit I $ 2.00 ~.OO 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 ~-'L () () 5% State Surcharge 1.~~ TOTAL '::a, ><. &'c::- "