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HomeMy WebLinkAboutPermit Electrical 1994-5-13 .... ...,. "" zoning: ~nd' do~s not require sp~cific iand use approval. 225 FIFTH STREET Zonino ~ SPRINGFIELD, OREGON 97476 ~\~_ INSPECTION REQUEST: 726-~7'6~ ___9. ~ OPFICE: 726-3759 Aulhorizsd Signature t->.......- 3. COHr~LE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION ( r; 6 b (A:5}./fo/ n::nJ I ~ IbC-l/ I). A. , LEGAL DESCRIPTION \ '1.02., '3 3~ (J1~eJD JOB DESCRIPTION ~I W V yJ b A-/I"1?G' . 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 I~/~ ~ /(/3&f Phone 17- q.-t!J~ '-It , Supervisor Licen.se Number B S S3.-S Address t.() , /pr) X City ~b. Expiration Date '5~!~~ 7..0 -?.,;f f-' f- "~ - e; ~ Constr Contr. Number Expiration Date Sigoature of Supervising Electrician c;r'~ -~~ .. ' 1/ I . t } D. Owners Na,me ~H1J..1 <;0 tf1/-t,5> ~t:nU , . Address . /(( 5 b CA'lP /J nv J PrL.,4'bU/ /:J , City ~ . Phone \J OVNER INSTALLATION The. installation is being made on property I own which is not intended for sale ,lease or rent. '. OWn.ers Signature: DATE: V)'- \::? ~ qL\ RECEIPT. .: - ..\ 7.//0VJ RECEIVED BY: (~ ELECTRICAL PERMIT APPLICATION qL\ O~qs City Job Number New Residential-Single or Multi-Family per dwelling uni t. Service Included: 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 B. Services or Feeders Installation, Alterations or Relocation: I ~O .-- 200 amps or less $ 50.00 201 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 $ 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 amp~or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "Bit above Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Addition(il Circuit ,or with Ser~ice or Feeder Pe.rmi t ~ $ 35.00 $ 2.00 b E. Miscellaneous (Service/feeder not included) -Each installation Puinp or irrigation Sign/OutlJn~ Lighting Limi ted Energy/Res . . L{mi ted Energy/Comm 5.. SUBTOTALOFABOVE 5%StateSurc..h~."J;:, ge . -F~II(J . .TOTAL . '2,..1:)U .4- tlR. ~ .. . . . $ $ .$ $ '7& -cP , l\. 'f I'~ LR Ql . '-1 jf 40.00 40.00 20.00 36.60