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HomeMy WebLinkAboutPermit Electrical 1994-3-17 03/09,92 zoning, and does not requIre" speCI1 c an approval. 225 FIFTH STREET Zonina Cl. ~ SPRINGFIELD, OREGON 974 7} 3. - \ I') - ql..\ . INSPECTION REQUEST: 72~:f1u /\ OFFIcE: 726-3759 Authorized Signature I I, M 3. COKPLETE FEE SCHEDULE BELOIl 1. LOCATION OF INSTALLATION _I P, ~c;,., ~1J.1 4- 11~~~PTI~~ ::>-'00 JOB DESCRIPTION j,IJRtr. AI~"-./ E'IJ./lMr -'Att/ Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. City Job Number A. .Nev Residential-Single or Multi-Family per dwelling unit. Service Includedl Sum Items Cost 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 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders .J I Installation, Alterations or Electrical Contractor L. U. J11ulZel? IfIt!Cr Relocation: Address 4~s SHI!U.tj <;r.e., City S P/~O, Phone '74--7-081/ Supervisor License NUlllber. ,~~S Expiration Date \{)I, /e:rc.r Constr Contr. Number QI ~~ 9 Expiration Date~ io 1f5'(erd Signature of Supervising Electrician O::~~~~aJJ~ . Address I '8'"...:)(;, :5 A :3 ' ;jpf-C( phone 7c(~ 7l(rl City 01lNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: ~~~~;---- ~ - (7 :qZr"'-:---- RECEIPT 11: - it t<'I,' I RECEIVED BY: ri ~ ^ ~ G 200 amps or less 201 amps to 400 amps 401 amps to 600 amps . 601 amps to 1000 amps Over 1000 amps/volts Reconnect Orily $ 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 $ 40.00 $ 55.00 $ 80.00 . see UBII above D. Branch Circuits .Nev, Alteration or Extension Per Panel -L- One Ci,rcui t Each Additional Circuit or vith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each. installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. StlBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 3'5 $ 2.00 not included) . $ 40.00 $ 40.00 $ 20;00 $ 36.00 3$"L I "'1" "'''' H~