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HomeMy WebLinkAboutPermit Electrical 1994-9-1 . .-- Thelo\\owlng p<oiect ... sUbm\rt9d has zoning, end does not require specific I approval. " If / ELECTRICAL PERMIT ~!,;,.I!;ATION Zoninn (p '77,.17:> ~ q~/-4t.f City Job Number '~~~'.!;"':r- Dole ~I '.' AulhOrizedSignatilrB~'1''' ..".. ("~ULE BELOII 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION /";:Je. ,. ~ LEGAL DESCRIPTION /~?-%-:r~ ~?,~L ~ JOB DESCRIPTION /'?t7Y; :l... ':::o,Tr,c,...7 t:'//e.C.r.: Permits are non-transferable and expire if work is not started 'within 180 days of issuance or if, work is suspenaed for 180 days. 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 Items Cost Sum $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor //<!/J Lr ,Ct:..;::c., or Relocation: . Address ;5' / / /'7/<}.Jf1./ City S" P f/-? Phone 7.2.C &7C11 Supervisor License Number 3' 1/:2. J-b Expiration Date cr-c:.r '7 S Constr Contr. Number 9 ;L. 5"0 1:' Expiration Date '" C. 7' '7 J Signature of Supervising Electrician .A? -7 ',- '- ~~/ ~ Owners Name 80 z:? Address /0/2, ^~j1 A: //F" q .:C~L City Phone 01lNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~-/.~~ RECEIPTlI: ~ /4fS>C.-:> RECEIVED BY: /" 4- ~,---:.- .' DATE: :J 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 , $ 40.00 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 volts D. Branch Circuits New, Alteration or Extension Per Panel $ 40.00 $ 55.00 $ 80.00 see "Bit above One Circuit / $ 35.00 l')Ov Each Addi tional Circuit or with Service e;;?Ot/ or Feeder Permit / $ 2.00 / 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 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 --=?'7 .....,.. . /.~ '/.~ ~?