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HomeMy WebLinkAboutPermit Electrical 1995-12-20 Thtl.tollowing project as submitted has the follo\ zOning, and does not require specific land use approval. 225 .FIFTH STREET z' PL 0 ELECTRiCAL PERHITAPPLICATION SPRINGFIELD, OREGON 97477, onmq n~\(1Il) INSPECTION REQUEST: 726-37-'€1fJJ lov ~ qs City Job Number \..J\\L OFFICE: 726-3759 A " V ' uthortze.d SIgnature ~ -r 'C01:iPT 17'T'P -ERE. SCIIEDtILE BELO\[ L' LOCATION OF. INSTALLATION . , H~W\I i Y\ VYia'd- d 14. Sc.-h ~a I A. Ne..... Residential-Single or , ' . \:1D:2.,', ~ 1'\1 . '""'\ rv--t{ul ti-Family per dvelling uni t. , LEGAL DESCRIPTION 'J .LV:k::J' U\OL...L.Ll;ervice Included: t:l~ ~ ~ C~~I+~""\V\lc...l ~o,",-\e"c::-.......cl ./ It!=ms Cost Sum JOB DESCRIPTION ' Uec...J ~ .-..,f f"e c~~5 ,~. .. . 0.". ..' Permits are non-transferable and expi~e if vork is not started vithiri 180 days 'of issuance or if vork is suspended for' '180 days. ' 2. CONTR1\CTOR INSTALLATION ONLY , Electrical Con trac tor L, tL yY\l'l\'V'~ f.,\~,- Address 48 ~ s'ke( \ e'j S~e-..f CitY;>f(,I.'A-:/~'~lJ...., Phone 7Y7~Og II . Supervisor Licen.se Number :3 oQ r;, s.... Expiration Date \f)-I- 9 ex Constr Contr. Number-L?/"7?~$S 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof, . Each Hanuf"d Home or Hodular Dvelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocati.on: $ 85.00 $ 15.00 $ ~O.OO 200 amps or less / $ 50.00 S-D~ 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 $ Mr. 00 200 amps 201 amps Over 401 Over 600 or less t<;> AOO amps to '600 amps amp~_or 1000 C. Temporary Services or'Feeders Installation, Alteration or Relocatiun Expi"ra tion Da~e " -:.~- ,c.:i-(/) ~:.:e ;kSupei:viSing Eiec~ .>: ' V ~ ,- D.. 9\lI1ers Narne ~rl ~lj-Cl',el:::l, ,.Yt-Lh \ I c::. Sc.k<r~I$ Address~S WL II ~-fy--ce-+ CitY~J"'VlcJ+;~~' 'Phone12~ - _-;J,,;;"Lf~ OVNER ruSTALLATION The installatioh, isbeirig made on property.J o.....nyhi~h is not intended for sal,e, 'lease or ~ent. .~,ers Signa tU.r,e: ':.' " . " .. DATE: RECEIPT. t: ' RECEIVED' BY: IC.&n'.l{~l - .. ~~d\~\t\Q~ Branch Circuits $ 40.00 $ 55.00 $,80.00 ,vol ts..see tlB" above Ne....., Alteration or Extension Per Panel 'O~~ cir~urt' .Each Additional' , ; Ci rcui,C or vrth Ser.vice, . or' Fe'eder., ';~e,rmi.t ';.ltL' $ $ 35.00 ; ~ 2 . 00 ,~:a,~ no t included) ,Hiscellaneous (Service/feeder -Each ins~allation ru~~ O~ irrigatioh' Sfgn(Ou tline ,'Ligh ring' Limited EnergyJRes , . L'{mi t"e'd~n~~rg;yICon:~ S.UBTOTAL Oi'ABOVE 5Z 's ta te ,surch'arge , "TOTfJ.,',., .' '. ... .', . ';..1 !.', 0' + ?JDh' AQ\'{<\{\ k~ . E. 5.. $ -40.00 $ 40.00 :$ ,20.00 $ .'3 6 ~ 00 .S.G,e y~ qO'~ ;2. s'9' ' . -4 CJ;). 8B