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HomeMy WebLinkAboutPermit Electrical 1994-3-21 SPRINGFIELD 225 FIFTH STREET Tr" " . .', ELECTidcAL PRRHIT APPLICATION SPRINGFIELD, OREGON 97477 ~~'~roCYal'I" .J-..lt.'7II...., ~"I<.I1l.. ~1"V'" .1.. I.... .... ...~ INSPECTION REQUEST: 726-3769 IJ V Ci ty Job Number 9 V~;;;' :?V OFFICE: 726-3759 Zonlnp ~ . 0',,1. 7f~1 \C)Y 3. COMPLETE FEE SCBRDULE BELOV 1. LOCATION OF INSTALLATION f1 /?9.z L,....c-,A,'~....v-/~,zod S\~""tWf.--lA. !'::Ne~, Il"~'ien.t.ial-Single or Mult1-Fam11y per dwell1ng un1t. LEGAL DESCRIPTION SerV1ce Included: /?~~~26'-"'3'V_ ~=?~~ Items Cost Sum JOB DESCRIPTION ~.-r~:'~~/;;>- . Permits are non-transferable and exp1re if work is not started with1n 180 days of issuance or if work is suspended for 180 days. 1000 sq.ft. or less Each add1t10nal 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwell1ng Service or Feeder $ 85.00 $ 15 00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. SerV1ces or Feeders Installat1on, Alterations Electrical Contractor Alert Electr~c, Inc.or Relocatlon: Address 1970 N. 28th Street City Spn!llgf~eld Phone 74:]:;:2213 SuperVlsor License Number 243 S Expuation Date 10-1-95 Constr Contr. Number 20-55C Expiration Date 10-1-94 st,~tu~e o~ 3,u7frvising Electrician \ ~(/f!u,(j 1/1uf'j~b< ~ r - 0 0 . OWners Name~~~~ lddress - '\] City Phone OVNER INSTALLATION The 1nsta11at1on is being made on property I own which 1S not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: :os"-:c?/--,V RECEIPT II: ~_ /2. ~&> / RECEIVED BY:.....-- ....( ,"".JI , . 'F 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 Serv1ces or Feeders Installation, Alteration or Relocat10n 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Cucui ts $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alterat10n or Extens10n Per Panel One CUCU1 t ...-s 35 00 ~"""'" Each Addlt10nal C1rcuit or With Service or Feeder Permit $ 2 00 not lOcluded) M1scellaneous (Service/feeder -Each installat10n Pump or 1rr1gation Slgn/Outl1ne L1ghting L1mited Energy/Res L1mited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 -::s".5': ....,. /.?~ ~ ~ '?S'-