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HomeMy WebLinkAboutPermit Electrical 1994-5-27 . S.PRINC.t.O D..:r=r.::val. 225 u.< AU STREET I SPRINGFIELD, OREGON 97477 ZoninL"'OI2.. INSPECTION REQUEST: 726:"3769-.5 -"to "--t:. OPF!CE: 726-3759 A<:fil::"GCI~~:at::-'J.M. 3. 1; ~~~P) IrJJOL'Rr1"uwu ,~~~ON rf\ \ (X) ~~l~r:b::a~::f if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2~, CONTRACTOR INSTALLATION ONLY '. . Elec trical Contractor jfF-iZ\I"Af,F-_E/...EC/. .,jc;'fZ #-- .t. . . Address ~~ \!YSr...~ 1'ITI+ A'lfE.- Ci ty 1=',.1 (, i?'.-r-..i E... Phone lVl-I,5DO q ~ci <; b8Y -/bdl Supervisor License Number Expiration Date lD ..\ _cl"'J C. Temporary Services or'Feeders Installation, Alteration or Relocation Constr Contr. Number (03\:'1/ Expiration Date \2..-2,-C.L3 Signature of Supervising Electrician . ~tU.~ .. Ovners Name { rJ I ~ . . AddressJ) (IT. , rn f) Cit~ LO' 41!).-n;lf ,OVNER ~NSTALLATION The, installation is being made on property I ovn'vhich is not intended for sale, lease or rent. Ovners Signature:' ,', ~. i'~~~~~;;;:= RECEIVED BY: J , . City Job Number COHPLETE FEE SCDEDULE BELOV New Residential-Single or Multi-Family per dwelling uni t. Service Included: It ems Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd 1I0me or Modular Dwelling , 4() Service or Feeder $ 40.00 A, B. Services or Feeders Installation, Alterations or'Relocation: 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D.' Branch Circuits $ 50.00 $,60.00 $100.00 $130.00 $300.00 $ 40.00 $ /.0.00 $ 55.00 $ 80.00 see tlD" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circui t or wi tho service, or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 :+-. not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~~~ I~