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HomeMy WebLinkAboutPermit Electrical 1994-3-18 225 ,1" U J.n STREET SPRINGFIELD, OREGON 97477 ' Zoninc'.J,()R INSPECTION REQUEST: 726-3769 - .~ OFFICE: 726-3759 ,Det~ 3 J {~-'fd.._ ' 1. ..iJCATlON OF 1IjSTALLATIo'ii'hcr""dSior.,.,u," ~~ S-71 ('.-as l!4 AI e-OI2/t.l-e.- . A. LE~~~ION r 7D v~:3.!j 0 2-01 ~ JOB DESCRIPTION SEcu~JW 5YS/clo/fJREW'IRG" Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . City Job NUmber q?-j17 J ? , - '- COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi~Family per dwelling unit. Service Included: Sum Items Cost 1000sq.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 , . 'Installation, Alterations Electrical Contractor C49 ;25ovJ Sr"UfZffY or Relocation: ' ,r-- /~ ?d~7?7~tE Address_~1 ~ /(ldtA:? j:Q 200 amps or less , ,- 201 amps to 400 amps Ci ty ccJ,V" ~ Phone 6 <;(f ~C;'1 t. 5 401 amps to 600 amps I __ 601 amps to 1000 amps Supervisor Licen~e Number ~fJ'~LL; Over 1000 amps/volts - Reconnect Only Expiration Date t:1v/ /f'f'L/ ' C. Temporary Services or'Feeders Installation, Alteration or Relocation Constr Contr. Number _~C;;'1tf1 Expiration Date ~~- /?y.s- ~ture of supervis1,'ng Ele:triCiari /&n ~t1vI/7'N,1Zt . Owners Name ~~ I~,t.//If Address ttlO.5 NcNz~ ,4 sT Ci tyS;/Z inert;'rPfl'f/ Phone 7'17- '!t'{1Z- I OVNER INSTALLATION The installatioh is beirig made on property I own which is not intended for sale,' lease or rent. Owners Signature: ~~~~-~==0?~~~~-q------------------ RECEIVED BY: 1~ 0 ' 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 volts D~ Branch Circuits $ 50.00 $ 60.00 $100.00 $130.00 $300.00 ,$ 40.00 $ 40.00 $ 55.00 $80.00 see liB" above Rew, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service, or Feeder Permit $ 35.00 $ , 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightirig $ 40.00 Limited Energy/Res V $ 20.00 /:..(f).G) Limited E'nergy/Comm $ 36.00 5,. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ' LQ -DO (,6'0 'L-i .n{)