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HomeMy WebLinkAboutPermit Electrical 1994-7-14 l_ '(' ,0 .._ '.,:1. ~ ....~.,~1_ ,,,.,,.. ZoningLJJe 225 FIFTH STREET Dete --; - I <.L-f q... SPRINGFIELD,. OREGON 97'A7L~<, If.] .~ INSPECTION REQUEST: 726=-~",IQnature OFFICE: 726-3759 1. LOCATION ,OF INSTAL~TION / . ~ 7 t'tP(/ .Jf?c/ #J ~t:t' 'Tdv-... A. . LEGAL DES~~TION.I /'7{9 ~ '2cr f ' O_~t0Z0 JOB DESCRIPTION (;) () .A JJ., '. JhjJJ ~ (P~ '://'1' :f)~dl !.0'1-1. Itlgkl. 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 B. Electrical Contractor .~~.~cI: Address ~?7-!C;-<2-t!.bAfR /tla/cr tf). Cit~-..?....-J'" ' Phone &1-211 ( supervi~~ License Number ~~~-2--~ Expiration Date /d,---! -C;; ~ Constr Contr. Number /,4:J-&J:7' Expiration Date 03'~ <::.(----7"5 Signature of Supervising Electrician ~~~~~- Owners ,Name ~ffW ( (O/2t1u.j'r?' Address 54~[? 14< ~ b Ci ty ~ -:pM Phone · OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. OWners Signature: ~ATE~---------:7/J-iji-;r9t-------------- RECEIPT =It: -{' I /2,,'7'105" RECEIVED BY: AI7 /r~ -<-c . t ELECTRICAL PERMIT APPLICATION 'City Job Number t?-f' ~d}L9 ( 3. COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: 'i:<.'!!,',' Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ftor portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 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 Jnstallation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit I Each Additional Ci.rcui t or wi th ServiCf~ or Feeder Permi t I I $ 35.00 S~ $ 2.00 ~ E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Cpmm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ :~/~ / _ P;,.s / .// "J 0 9c. ./ (, 40.00 40.00 20.00 36.00