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HomeMy WebLinkAboutPermit Electrical 1994-12-8 SPRINGFIELD ...' 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECfION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION '2..(9 Cd> s:- Cr?U~/....rL- LEGAL DESCRIFTION /70'5 ZS- 4<: D/9tJlJ JOB DESCRIPTION J EPr'I' . (A-7 .:" rcdc- . f - _ - / .~~ Permits are non-transferable and expi~e if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACfOR INSTALLATION ONLY Electrical Contractor I~~ ~~{ /'jLt /, Address <'77.1 6ftO(GIL J2d ~ Ci ty 6r-t:-??/E. Phoned&f /7!; r;- Supervisor Licen?e Number~arc>3~ Expiration Date. 10/9('"" Constr Contr. Number. "7Ra? Expiration Date /.;:? /9'r/ Ry~trician .. c.,...t . ;- . - D. Owners Na,me 8~ A<<~~~ 1;Ed/} / Address City Phone -tdc. -IJ/32- 01lNER INSTALLATION The installation is being made on property I own which is not intended for sa~e, lease or rent. Owners Signature: DATE: RECEIPT .: RECEIVED BY: /2-/ ~/?4 , / t() (;,5> 7 A'~ ELECTRICAL PERMIT APPLICATION City Job Number 9-1/ ,6 f,6 7 COMPLETE FEE SCHEDULE BELOV 3. A. New Residentia1-Slngle or Multi-Family per dwelling unlt. Servlce Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each addltlonal 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwell~ng Service or Feeder $ 40.00 B. SerVlces or Feeders Installatlon, Alteratlons or Relocatlon: 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40-.00 C. Temporary Services or Feeders InstallatIon, Alteration or Relocatlon 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Addi tlonal Circuit or with SerVIce or Feedel: Permit v-- $ 35.00 .?5'~ $ 2.00 E. Miscellaneous (Service/feeder not Included) -Each installation pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited EnergyjComm $ 36.60 5. SUBTOTAL OF ABOVE 5% State surcharge TOT/tL -\- ?FJIo Mro."f\ ~~ -:(5'''-0 /,75' I.I:! .s- f1' ,'t; f!)