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HomeMy WebLinkAboutPermit Electrical 1994-3-2 . . SPRINGFIELD . . , \\tad ha$ the follow\ . 'Ied as Gubm if lend use 'the io\lowing pro not require spec ,e . and does 225 FIFTH STREET zoning, \ ELECl'RICAL PERKIT APPLICATION SPRINGFIELD, OREGON 974"ft,ove, L..A10 ~ 1//1 r-..\ I Lo INSPEctION REQUEST: 726-3769oni"g~ 'City Job Number '-1.-n J \ OFFIca: 726-3759 . (,".t.~'-:/-~ 3 .. .. \ffi rn\lpu,r. nE SCHEDULE BELOII 1. LQ.!;4T;l:Q!i OF GEN$TAI.I.A;1'l'ONzcd s.,gneture_ .. ~ "-_~':"'l \..)\ l...rf'Ifl\ ~ A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: )1B3~~~ONonl~L: JqI!..D,ltSCRIl1t.ION Q 0- 1000 sq,ft. or less \.MDH\l'O ,~J,l.\1)* f\1>_u.~ ..U\.~ ~Each additional 500 ~ sq. ft or portion Permi ts are non-transferable and -expire thereof if york is not started vithin 180 days Each Hanuf'd Home or of issuance or if york is suspended for Hodular Dwelling 180 days. Service or Feeder ! Items Cost Sum $ 85.00 $ 15,00 $ 40.00 , Electrical Contractor ROSE CORP B. Services or Feeders Installation, Alterations or Relocation: 2. CONTRACfOR INSTALLATION ONLY . City I:'lIr,E]1 I:' Phone IiRIi-nqn~ 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 SJ Address 89976 DAY LANE Supervisor License Number -156RS Expiration Date 10/1/95 .. Constr Contr. Number .... 5443 i :'" C. Temporary Services or'Feeders Installation, Alteration or Relocation Exptration Date qnn/q~ 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above Signatur~ervising Electrician . (/~A"//~ Owners Name \\Q ~'ti., \=\.-n * 0 Q \ Address. ~~ ~ S \Jwffl f> City ~()l_ Phone OVNER \ IMTALLATION D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Addi tional Circuit or with Service or Feeder Permi t d $ 2.00 4 The. installation is being made on property I own which is not intended for sale, lease' or rent. E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) -----------n----~------ DATE: t7 ~...<:..,q ~ RECEIPT t: t&t<f (} \. \ '6 t;;../ RECEIVED BY. _ ) -. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 cO 54, --9 /]/J ...c:::,ID.'7.0 Ovners Signature: