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HomeMy WebLinkAboutPermit Electrical 1995-1-20 r/ e e SPRINGFIELD bmitled has the 10 10wIn The.following prole~t ~:qS~lre specific land use zO/"l1ng, and does n 225 FIPTH STREET approval. , r SPRINGFIELD, OREGON 97477 Zonino uY\..J> INSPECTION REQUEST: 726-3769 -2,o-Ci (' Ci ty Job Number. OFFICE: . 726-3759 Dote 1 > 0(V'-;;-; Authorized Signeture ';'~u. r"'''' SCHEDULE BELOV 1. LOC~!lJlN <}Il INSTALLAT~ __~ O,J ,,'it f2!::i;.j r...:J() mJl ~ Y(llJ...,lLLI,. A. New Residential-Single or Multi-Family per dwelling unit. Service Included: ~GhL DESCRIPTION _1:IU..il~or') . (j411'X t... JOB D~ION I -L11' f? J") f )).. (11/)(11 u t7I ) . f Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ELECTRICAL PERMIT APPLICATION QC)ro30 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Items Cost Sum $ 85.00 $ 15.00 $ 40.00 2, CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Alert Electric r Inc. or Relocation: Address 1970 N. 2Bth City Sprinafield _ Phone 747-2213 Supervisor Licen.se Number _3401S Expiration Date 10-01-gS 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 .:5f) $ 60.00 $100.00 I, $130.00 ~ $300.00 $ 40.00 Constr Contr. Number 20-55C C. Temporary Services or'Feeders Installation, Alteration or Relocation Expiration Date 10-01-9.4 Signature of ~~~ Electrician · 7.!f..: U'hrl. ~/M; Address-11RL(, ...lyb. oot- Ci tY~Phone.J44.q,,\-OO OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~:-:~ 1- j[J~------------- RECEIVED BY: ( ,Q.. ;';\ -r , J ~~~~ ' 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D., Branch Circui ts $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Servic~~ or Feeder Permit ~ $ 35.00 $ 2.00 5U not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge ~~ $ $ $ $ 36.00 cO~~c) I J .~, f".qn ~4~ ."'to 40.00 40.00 20.00