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HomeMy WebLinkAboutPermit Electrical 1996-2-29 . ~J.Je..- .' SPRINGFIELD b mad has th9 10110 Thp, ~o\lo\'J\ng prc1actt~~;~ir:' specific land use . and does no ',,", zon"'~J, . ELECTRICAL PERMIT APPLICATION 97477 appro",,!. C ~ n( (I 5 726-3769 5~:or -= 4,,0 City Job Number -t rJ Loj O~~ ~ "PI !>TV YRg 1;CHEDULE BELOV 1. LOCATION OF INSTALLATION,horizad Signatur. '1.3'7 '--11. 1tsJ- .5:.n.t-d- A. ew Residential-Single or v" Multi-Family per dwelling unit. I LE~ DESCRIP1IqN 5a. Service Included: / n'-', ,~~.:31 0 (j() 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 JOB DESCRIPTION J'h~~/,';?) tJ, A-t/diJ/l?n1" ~Ut~ 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 B. 20- :zzO~ Electrical contractorl!b1f-<<.l'f!~ 1t1;::t:> Address I.:J-o ~ Ci ty ~_ {)r Phone..3./II -,jS- {. / Supervisor Licen.se Number /09;;J. S Expiration Date /D-/- q~ Cons t r Con tr. Number 90.2 !flJ ., Expiration Date .,;1-)7- 90 Signature of Supervising Electrician Jt O"L_../ ~: . A./~ ~ . 0 Owners Name ')nf!..(~'-'-' ~ (j Address f. D t3 tr/ to 40 . City P/'h1-UlA<.1 J/.u/ Phone . 1ft!- fFfl.5' OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: :~g;~?;~~;~-------~--=---- RECEIVED B~:'ll .' 1 YVtrJ/L6:, v:> Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps / $ 60.00 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 Circuits $ 40.00 $ 55.00 $ 80.00 see "Bit above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit ~ E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5.. SUBTOTAL OF ABOVE ~State Surcharge~ TOTAL . $ 35.00 $ 2.00 ioo not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~ 1. n) ,5. /Q2.. /..q. /.;J...