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HomeMy WebLinkAboutPermit Electrical 1993-5-27 SPRINCFIELD The f011owi.ng proj~ct as submiitecl haG the following . z(";". ariddQ0Snot rsquire specific land use ELECTRICAL PERMIT APPLICATION 9747 rOVfj.1. - 726-376:9Jnirig L D ~ ,., Ci tyJob Number 9 2// ~'7 D:\tq_ ; ...rlvlJj) 3. COMPLETE FEE SCHEDULEBELO\1 1. 'LOCA~T ON OFINSTALl.:A.l'.;r..ON;d Signature J ,t- . J?'~?' ~/cVLJJ~ A. -- . LEGAL DESCRIPTION /7&5 2...~ .~ 2. 225 FIFTH STREET. SPRINGFIELD, OREGON INSPECTION REOUEST: OFFICE: 726-3759 '7:10 t) JOB DESCRIPTION ~MAee8 C~P'~~_, P2rmits are non-transferable ~nd expire if vork is not started vithin180 days of issuance or if vork is suspended for 180 days. 2. 'CONTRACTOR INSTALLATION ONLY Electrical Contractor Address Ci ty Phone Supervisor License Number Expi ra t ion Date " Constr Contr., Number Expiration Date Sl~~ature of Supervising Electrician Owners Name ~;-= ).Ie-a Address J 342 ~n7VV/rtL- Ci ty.UO Phone 14~ ".("~"'5'9.; OVNER INSTALLATION The installation is being made on E. property I own vhich is not intended for sale, lease or rent. OvnersSignature: X'~!J/' 'I ~g7, +---:lilY.!-~-~~~_~.ll"-~_L~__~__-~ .. 5. DA1'R:..>> 5 - 2 7 - 5' 3 ' '. ' , RECEIPT I: ~4~ RECEI~D BY: ~~ New Residential-Single or Hulti-Family per dwelling unit. Ser~ice Included: Items Cost Sum 1000 sq.ft. oi less Each addftional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B., Services or Feeders Installation, AlJerations or Relocation:- 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 amps or 1000 $ 40:00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits Newl Alteration or Extension Per Panel ---- $ 35.00 ' :?S:Z:>O One Circuit Each Additional Circuit or with Service or Feeder Permit ~ $ . 2. 00 . -'-DJ> e Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Com~ not included) SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ S S $ .fi~ 4- 7. . 2J:.F 40.00 40.00 20.00 36.00, " r