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HomeMy WebLinkAboutPermit Electrical 1994-3-30 The fO~loWing project ~s oubrnitted '~~ ;h~:f~IIOWI '~ 22's FIFTH l>LIU:.J:.L ~~~'r~~arnd does not require specific land uS!lLE~CAL PERMIT ,APPLICATION SPRINGFIELD, OREGON 97477 / )J/ ffY:J. \1\ I A INSPECTION REQUEST: 726':376~oning k/1C-' City Job Number Vj,:'J~ ~ OFFICE: 726-3759 Oete :~ -~()-q1- 1. LOCATION QE..IN~p.r 11.'It~ ~ed. Signature fJ ."..2.. YIS\ rGA . ~ ) A. LEGAL DESWJ1:fIO~ \ a::A.r\~ H-. r D }\! .7] ~ ~ \...-' JOB DESCRIPTION t.t..' ,'. "... 1\La.:f- 011.--"" -D . ' Uf bl 0 . Permlts-are non-trans era e and explre if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor OREGON ELECTRIC-SERVICE Address~;;).)n L. ") '-N-f ~ Ci ty ~ <,-,-,,- Phone ~cJ.:~ - I br:;cl Supervisor acense Number /,-'~'/1c!;J" "\ Expiration Date 10 Ie; c./ Constr Contr. Number NoLi (0 C--- Expiration Date ;eJ /qrj Sign~!ure of sup.ervising Electrician 7~~" (') JtJ,." , O~ners Naml"JW()ki:e~ Address ~~ Ci ty Phone 74(0 -~) 35 OYNER INSTALLATION -' The installation is being made on -property I o~n ~hich is not intended ~or sale, lease or rent. Owners Signature: ~ATE~==-~--- ^~ .~~C) ,q::j:.------~ ,RECEIn 11: \ _ ~,\?, \A\oJ 2RECEIVED BY~ -::-^) v- ~ ;;7' ~ '\ ;- COMPLETE FEE SCHEDULE BELOY Ne~ Residential-Single or Multi-Family per d~elling Service Included: Items 1000 sq.ft. or less Each additional 500 , sq. ft, or portion . i.. thereof Each'Manuf'd Home or Modular D~elling Service or Feeder 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 C. uni t. Cost Sum $ 85.00 $ 15.00' $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above Ne~, Alteration or Extension Per Panel One Ci rcui t / Each Addi tional Circuit or ~ith Service or Feeder Permit E. Hiscellaneous (Service/feeder .- -Each installation Pump at irrigation Sign/Outline Lighting, Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL' $ 35.00 3S'&O $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 S 36.00' ~ "S 0"0 ( >.s 3(0 "?,S