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HomeMy WebLinkAboutPermit Electrical 1993-10-22 " . .. SPRINCFIELD ) The, :ollcwt~D proJo<:1, eo submitted has the lo!lowl~ 225 FIFTH STREET ZCnlOe, noc docs no. reqUIre spec.fic tand use ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON ?f1'4"Fl 1 l\y,;7 INSPECTION REQUEST: 726-3'J69.L~ City Job Number q 31c{;, 17 OFFICE: 726-3759 On,. IO~').\Oj? f-.-.;;;o~q( 0' 3. cbHPLETE FEE SCHEDULE BELOV Sc .J A. 1. LOCATION OF INST~I;A:F<lilltlJnalure &u ~ FA. Il'_\" E.""" b r LEGAL DESCRIPTION j~6j ?71" JOB DESCRIPTION ONW.XiU; .T~/C-L;; Zt17H0 f t:; e,,~ l'- .. 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 Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician . Owners Name ---riA-I H-',,""JIUS Address (,""3 FA.A."'e..o u('" City~",~.(;.",-\.l Phone +'iI.:....P-I3€, OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners 'Signa t~Je: () . .JiL-1" --~----------~----------------------- jCJ/:;"2/"J] . 1''1.~ \'7 A/l'--- -6C .' ,.-. DATE: RECEIFT ,: RECEIVED BY: New Kesidential-Single or Hul ti-Family per ,dwelling Service Included: uni t. Items Cost Sum 1000 sq.ft. or less Each add it i ona1, 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 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 ....-- $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C.a,~ 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 liB" above D. Branch Circuits New, Alteration or Extension Per Panel One Circui t Each Additional Circuit or with Service or Feeder Permi t c:: $ 35.00. $, 2.00 ~() 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 /A0~ 5% S ta te Surcharge - .l' C>Q TOTAL /;7~.eD