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HomeMy WebLinkAboutPermit Electrical 1993-10-11 The, f(,II"'.wfr"lq r:rI)J""r't .,~ .:;ubmitt$!d has the folio ;~;:~'"".:'C .;lc, , ,,"' ,'oq""e specffic 'endfficriuCAL PERMIT ,APPLICATION 97742767_3769 ZOOi"-,. ~c.... City Job Number c,.!, 10 -ll-'i ~ " ....-..- 3. COMPLETE FEE SCHEDULE BELOIl 1. LOCATION OF INSTALLAT~oril.Dd Signature ,~ "2/20 ~?-/p.--fL ~. A. New Residential-Single or Multi-Family per dwelling unit. Service Included: . l:f.'~;/::t 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 LEGAL DESCRIPTION /::>>~~;"'9'=<, ~/o ~I? JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 1BO days of issuance or if work is suspended for 1BO days. "7?/Syg Items Cost Sum 1000 sq.ft. or less $ B5.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor L~NT"L ELECT~Ic..::CNLor Relocation: Address 31o{,21o CEDA>2.. t-IILL<' Ci ty PLEA~AfJT 1+1 LL Phone 72.(,- 06.")'1 Supervisor License Number 3i q L S Expiration Date IC)-I-q~- " Cons t r Con tr. Number 'i? Cj b 1 C\ Expiration Date 7-1L.{-Q3 Signatu~e of supervis~g Electrician --d,^^^" 4!- ~a".-r., c::: Owners Name Address~_~ a Ci ty ~Q.LQ Dt Phone 01lNER INST~TION 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 'Circui ts $ 40.00 $ 55.00 $ BO.OO see "B" above ~~~~~. New, Alteration or Extension Per Panel ;:O.-"lfLn. Q. . ne Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permi t -:z.. y' $ 2. 00 ~ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: A6\o...u'L ,: RECEIVED BY: /;.1/-//-'7' ? /L> ~32-. r/~""'---- // E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Qutline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ~ drlS- :::?_ :;:t:::=> ~.?6