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HomeMy WebLinkAboutPermit Electrical 1994-6-1 lhe follo~!lng project as submitted,~as the 101 oWtrl zoning, and does not reqLlire specrnc land use approval. 225 FIFTH STREET f!.- f./ SPRINGFIELD, OREGON 97477 Zonina INSPECTION REQUEST: 726[jd16~-I',.{~Lf- City Job Number <jJ90tf;C)O OFFICE: 726-3759 - (\ A'Jthorized Signaturs_ - ~ C6ttPt'Elf. l'.r.E SCHEDULE BELOV 1. LOCATION OF INSTALLATION ~S/ tAL (!"'fJft'-hTJld I . LEGAL DESCRIPTION J7~ ~ .....7.7.. 7(9 .tt/~csr::::s /' JOB DESCRIPTION in S+t:lll .'\f'/'d4.L)' Tv - . '.' I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days~ 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ....~()n i f1'() I :2I()()q Phone, lito / -15(0 7R" Address jJ 0 /3eJ.-;( City 7;A~ -. . Supervisor Licen..se Number 1?f1'1J .....JLt3 Expiration Date JO-/-CJb Constr Contr~ Number 10,5'11./9 Expiration Date //7'-d..?~qh Signature of Supervising Electrician M .-\- uk- VV\, -'"' r J, ~ .,~ Owners Na,me ~,.'=:-I--70 Caa.<+ Address City 'Phone 77'7-5,r)/){ OVNER INSTALLATION The. ins talla t iei) is being made on property I own ~hi~h is not intended for ~~le, 'lea~e orr~nt. OWn~rs Signature: DATE: G.~/-~Y . :::JiD'~y:/~~I~~~~.i!" ~ ELECTRICAL PERMIT APPLICATION A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each addition~l 500 sq. ft or portion thereof , Each Manuf'd Home or Modular Dwelling Service or F~eder B. Services or Feeders Installation, Alterations or Relocation: 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 Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 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 t~400 amps Over 401 to 600 amps Over 600 amp~or 1000 volts D.. Branch Circuits $ 40.00 $ 55.00 $,80.00 see liB" above New, Alteration or Extension Per Panel One Circuit Each Additional . Circuit or wfth Service, or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Puinp or irrigation $40.00 Sign/O.utlil1e.Lighdng $ 40.00 Liini ted Enetgy/Res$20. 00 ,Limi ted Ener~IComm ~l" $ . 36.00 3tAJ7) 5.. StJBTOTAL OF'ABOVE 5%StateSurchiirge ,TO,T~,,' . 3~ J tJ7) a,~ . 2.&.EX