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HomeMy WebLinkAboutPermit Electrical 1994-4-25 . - . SPRINGFIELD The. following project as submitted haa the folio zoning, and does not require specific land use 225 FIFTH STREET approval.' {\. () ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoninq A.JI~ 0, /J ./I(-1! INSPECTION ~OUEST: 726-3769~ ". t'J <. (1.~ Ci ty Job Number / '(UJ OFFICE: 726-3759 Date_~ H)~ Authorized Signature COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION teBD C~4"rClII)~QQ.T"'\ AI.l~ (.M~) A. LEGAL IllS~~ION \1 ()tJ.~r J 33 JOB DESCRIPTION .tV ~/A -' ,G--~-c../ S lit" L//~.6 . Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY It.J i [l~ ""'~~ I.J e; Electrical Contractor-OW),je:R. Add ress 2.QO s. rv...: I ( Ci ty S~\~J:'el ~ Phone 7'z6 -4335 . Supervisor License Number 4 () 23 S Expiration Date 1(') -/- qS ~ ,..,..~\."yetii- "F Constr Contr. Number nt...JA.)p:~ ., Expiration Date . Signature of Supervising Electrician /~ D, ~-AJL Owners Name (J..):LlA""~"tvP: PARJ;::.L" f?~C. Address Zoo $, ",,'./ I City 'S'f'R.11UlA ~ ( eL~ Phone 72 t:, -43hS- OWNER INSTALLATION The installation is beirtg made on property I own which is not intended for sale, lease or rent. Owners Signature: -----------------7-~--~2:------------- DATE: 4/2J//'1- RECEIPT I: (//)--t~'lJ RECEIVED BY: ' ~Y/~ ~ New Residential-Single or Multi-Family per ,dwelling Service Included: . unIt. Items Cost Sum 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. Services or Feed~rs Installation, Al~erations or Relocation: 200 amps or less I $ 50.00 50~ 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 New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit ~ $ 35.00 '3S~ $ . 2.00. b~ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm ' $ 36.00 5.. SUBTOTAL OF ABOVE ..q C{ I ~ 5% State Surcharge . <j-~ TOTAL ' Y! q.c:..55