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HomeMy WebLinkAboutPermit Electrical 1994-5-4 . -, ~ SPRINGFIELD ~ , The, following project as submi'lter.:l h3-.'l the to zoning, and does not require specific land us approval. ELECTRICAL PERMIT APPLICATION 225 FIFTH STREET SPRINGFIELD, OREGON 97477 Zonlna LpfZ. INSPECfION REQUEST: 726-3769,te-5-4-q~ City Job Number 4 Y t!!J Y/k ? OFFICE: 726-3759 , ' r. . Authorized Sign;:,t\mu.,a.,o,_:..COKPLETE FEE SCHEDULE BELOV 1.' . LOCATION O,LINSTALLATION , , , ~~ b/'# /Co. Y . RV../I"" A. New Residential-Single or , , ' ., r, . / 'f~':U Multi-Family per dwelling uni to , LEGAL DESCRIPTION Service Included: 1/~A-3'3..Yt;.( ~/~~ . r ", , ...;JjlBDESCRIPTIO' ,I _,....-:: /#~/CE /).....;...?~ ';?~~ r .., ,... - 1'1 - ....- Items Cost Sum - . . . 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. CONTRACfOR INSTALLATION ONLY Electrical Contractor ~~~~ (..,./' ~ r , r --: 1 Address 1000 sq. ft. or less Each addition~l 500 sq. ft or portion thereo,f ' , Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 --- $ 40.00 '/0 " B. Services or Feeders Installation, Alterations or Relocati.on: City. Phone 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 . Supervisor Licen.se Number Expiration Date Constr Contr. Number C. Temporary Services or'Feeders Installation, Alteration or Relocation Expi'ration Date Si~ture of Supervising Electrician 200 amps or less $ 40.00 201 amps tQ,400 amps $ 55.00 Over 401 to '600 amps ,,$,80.00 Over 600 amp~_or 1000 volts see "8" above D., Branch Circuits ,,~ pwners Na,me ~~r~'-L ~~ Address '1?(9.. ~X 2~ <;/ / .' ' City~~.~ 'Phone'Q) Ye>"2- ' OWER INSTALLATION , , ' New, Alteradon'orExtension Per Panel , , 'Oo'e Circuit' ,Each Additional' .' Circuh',or vfth Service, or Feeder 'Permit $ 35.00 $ 2.00 '.. I'. . . ',~e~s, Signature: ...,: .';. . . ':..' '.: ~ ,',' . : ...,;" E. ,Miscellaneous (Servic~/fe~der not included) ~~achinstall~tion ' ruinp or, irrigation '$ AO.OO Sign/(h.1tlJn,~t.lghHng',$ 40.00 Liini ted Energy/Res , ..$20,.<;>0 ,L'iniitedEnergylComm ".. $ ,'36.00 .. .::. "', ': '.: ,~~~-, 5,. SUBTOTALOF~ABOVE 5% 'Sta te ,surcharge, , , '... ,T()TAL :,: . . . . . . .<<' ", " , . .' ';'" :. ~., ", " , . , ,., "-0' , oiIC' Y? · ,--." , The, installatioi:t isbeirig, 'made ,on., property;r ownvhich is not intended for sale, lease or rent. . ," . '., . DATE: ,,' ' f'.,.-:y...71~ RECEIPT .. / _/-'~ ,,\""'.." ..:' .--j.. ....~'~._~..,...\.. 'RECEIVED BY: /./~;~-" (~-=-,