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HomeMy WebLinkAboutPermit Electrical 1995-6-6 S"'IINc;.trIIILD ----- ~ ~- The following project es submitted hos the folloWing " rtIi zoning. and does not require speciric land use .' . 225 nun STREET epproval. ELECl'RICAL PERKIT APPLICATION SPRINGFIELD, OREGON 97477 ,lD(L.; . INSPECTION REQUEST: 726-376~ zon;g ~r City Job Number C)~i!) 5'a6 OPPICE: 726-3759 Dote (I 'V- "7\ .,J IN-. COHPLETE FER SCHEDULE BELOV , Authorized Signature 1. LOCATIOti..OP INSTALLATION 75'/ [J1::;c3-7mv"/ .' LEGAL DESCRIPTION / 7a ~ 3-;t' / ~ 19 '"~O-O / JOB DESCRIPTION A~r/;U~/51 MJ/A'/Aq 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<)C"e/~ ~-: Address -P.t9_....-gtJ'x:' 2?~J- City~c. Phone tJ::>8C:,-g,(i,/2... Superv~sor License Number Q t/-O 5" Expiration Date Constr Contr. Number 1.a. ;)~L Expiration Date / 2.;/::Jj~.5: r Signature of Supervising Electrician " pJ~1 I LM~ /.t6vrz 1 Address City Phone OVNER INSTALLATION -The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE:: RECEIPT, 1t:, RE..........., BY:: (.,/t:./9';- , /71p/ <J _. . ~~ A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: Cost Sum Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $ 80.00 see "B" above 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 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 volts New, Alteration or Extension Per Panel One Ckcuit ~$ 35.00 "<5~ Each Additional Circuit or with Service or Feeder Permit ) $ 2.00 26'0 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 OP ABOVE 37. h 5% State Surcharge/,8I"+I/t 2. ';'''=> TOTAL ~ 9. N, D. Branch Circuits