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HomeMy WebLinkAboutPermit Electrical 1995-5-15 - I The follo','/!--, '-, __ ',~. - "0 ' " .,,. "')/1 .... ... nmg, ;,.-, .' .' -'-.,"1",,"'d has the f I ' approvai. '., -,~;.~ ,..., '. ,_;Ci". .;Pi...:;ific land u~~OWln9 ZOr:il'" LV& 974 f7ate 5~f?~~~--- 72~~d Si9n~;~(~. Ji~ 3. COM~~r~E SCHEDULE BELOV I 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 / I 1. ~10CA~!ON O~., I~~!~~~~O~ ~~l -KfO)~2 (_;~f/:: I _ LEGAL DESCRIPTION J / -I7~ 3-! ~ ~ ~3~ JOB DESCRIPTION S~~,.c ~~ / 2..~~.e C/,Ii'{. . ; a HrN~e c,/.tIfl,~"rr Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. / 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor N~ ~i)e./~ Address b"S // ~h.() Ci ty 5>~,A?~,/7~L Phone 7 ~~ 71'2/- Supervisor License Number /3023 Y Expiration Date /e -/ -, j Cons tr Con tr . Number "2. 5'at::. Expiration Date 7 -/~ -TS- V~:::;;;iSilt Ele::ian ...-r' . 1/ i Ovners Na~e "J"A (i."~.:._ _l-lI?h/" ,-" Address l/~CJ-.C;: (i aUVL.l} lL{.{, Srt---- City(~- '~ 1~.:~.1iphone '/:J-C, ._, Yf,) 3 ---.J I , o INSTAuLATION I The installation is being made on property I ovn,which is not intended for sale, lease or rent. Owners Signa tl1re: _' J0') ..A /J~ ~,/../ . -, ,., 1 ~,~,,~~._-~ " ----~-------~------------------------- DATES) ~ /~ Jff r RECEIPT #: ., {i.3 'f!,-f RECEIVED BY: r/J X.A...4 .'-t': '- ELECTRICAL PERMIT APPLICATION City Job Number 9~o ~2-.4 I 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 B. Services or Feeders Installation, Alterations or Relocation: Items Cost Sum $ 85.00 ..... $ 15.00 $ 40.00 200 amps or less t..-""' $ 50.00 $0 0-0 , 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 Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Ove~ 401 t~ 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel ,. , One Circuit -1J1? $ 35.00 x..,..1"FJr. Each Additional Circuit or with Service or Feeder Permi t -5- $ 2.00 1f;6D ;> 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 $ $ $ $ ~t) ,00 ~s..o c, f ~;: 40.00 40.00 20.00 36.00