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HomeMy WebLinkAboutPermit Electrical 1994-6-13 .... , >>=IELD .- The following project a. sUbmitted has tho followln ZOning, and does not requIre specific ~nd use approval 225 FIFTH STREET Zonlna (lU SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 72(lollliQ" -1~.:;...C,'f OFFICE: 726-3759 ~~yltl<>JIZjlp.s11 at P 'r:-- /7t:>/ .c-4?#rCW7r4'~gn ure 3. 1. LOCATION OF INSTALLATIOJil '/ j,()C;sl- /~4j,L. _~S I'd e.. A. LEGAL DESCRIFTION /7.a~-2~---=j4// o~Se>a JOB DESCRIPTION;""') l- f ........:i' 0 19 f? V.5 ,n..JLr-' - Perm1ts are non-transferable and exp1re 1f ~ork 1S not started ~lth1n 180 days of 1ssuance or 1f ~ork 1S suspended for 180 days B. 6/. cd- 2. CONTRACTOR INSTALLATION ONLY Electncal ContractoJG,)y VIew . J Address.-i~ i 6 #1tt1;"cu.J i;.d C1 ty E...uq. Phone" t/ . f L7 z.-- / SuperVlsor L1cense Number ? J 9<1 S Expnatlon Date /It -/- '1'.5- ELECTRICAL PERMIT APPLICATION C1ty Job Number .::;7<;/ tP~ '77:> :;:;UFb:7~ PEE SCHEDULE BELOV New Res1dent1al-S1ngle or Mult1-Fam1ly per d~ell1ng un1t SerV1ce Included: Sum Items Cost 1000 sq.ft. or less $ 85.00 Each add1t1onal 500 sq ft or portlon thereof $ 15 00 Each Manuf'd Home or Modular D~ell1ng Serv1ce or Feeder $ 40 00 SerV1ces or Feeders Installat1on, Alterat10ns or Relocat1on 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 S 60 00 $100.00 $130.00 $300 00 $ 40 00 Constr Contr Number 20 -//0 0 C. Temporary Serv1ces or Feeders Installat1on, Alterat10n or Relocat1on Expnatlon Date )0-1-9../ S1gnature of Superv1s1ng Electr1c1an W~ Q/7~ . . ,- V \ O~ners Name 5lfJ.f-d /~ ~K s . Address / 7&/ Ce4/';:e.v.-v/~Ld'v C1 ty Sf'+- d. Phone OVNER INSTALLATION The 1nstallat1on 1S be1ng made on property I o~n ~h1Ch 1S not 1ntended for sale. lease or rent Owners Slgnature' --------------------------------------- DATE RECEIPT jI' RECEIVED BY: t:,-q- "7V /~~~-- , /f'V . ~ 200 amps or le~s 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch C1rcu1ts $ 40.00 $ 55.00 $ 80 00 see liB" above Ne~, Alterat10n or Extens10n Per Panel One C1rcu1t Each Add1 tlOnal C1rcu1t or ~lth Serv1ce or Feeder Perm t --;;; $ ~ M1scellaneous (Serv1ce/feeder -Each 1nstallat1on Pump or 1rr1gat1on Slgn/Outl1ne L1ght1ng L1m1ted Energy/Res L1m1ted Energy/Comm E 5 SUBTOTAL OF ABOVE 5% State Surcharge 3% Adm1n1strat1ve Fee TOTAL .--- $ 35 00 ~ 6 2.00 not 1ncluded) $ $ $ $ -Y/.t>t:::? ;:r,..a s--- /,c>~ QY"2R 40 00 40 00 20 00 36 00