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HomeMy WebLinkAboutPermit Electrical 1994-1-12 . ~- \\"Ie \o\\owil\ll '\tedhas . foolset 99 SU~~: cc',~\c \ond use 225 FIFTH STREET 1\"1e \o\\OVI\~gd~~o noueqUl! -p ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974~z~r;;~~~ (). INSPECTION REQUEST: 726-'3769 . c .-0 illS-- City Job Number 4~/7e:9~ OFFICE: . 726-3759 Zonl<\.I-- "'-\0 ;..\oJ0:t- 1. LOCATION OF INSTALLATION . ~"ur. C-62!?16?e> ~v#A~~ LEGAL DESCRIPTION /:? ~~~-";?2.cr~ ~ <!)6'3~ , JOB DESCRIPTION -:-:> ' ,7 E~ ./'"'~~A 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, j..lf-Ju.<.. /H,,,- ......---=> Address ~') ~ .> - ~:.Q'I'A /1; :;, ~I VI.- Ci ty ..s:: P .(1) Phone ")\,( 'I'll (,-..1-' Supervisor License Number 3.:5 'Ff S Expiration Date //-9S- Cons t r Con tr. Number '8 'I' L/ 2. ~ Expiration Date 3-<"'-'1 '-/ Signature of Supervising Electrician &t ~,.' - ;, Owners Name :!~ ~~~ Address City Phone 01lNER INSTALLATION The installation is being made on property I ovn which is not intended for sale, lease or rent. Owners Signature: DA~E~-----~~~~~----------------- RECEIPT II: .//~'-I RECEIVED BY: rL~ ''/ COKP E SCHEDULE BELOIl New Residential-Single or Multi-Family per dwelling Service Included: 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: 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 uni t. Cost Sum $ 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 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 D. Branch Circuits --- "j'?7 $ 40.00 $ 55.00 $ 80.00 see "B" above volts Nev, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or vith Service or Feeder Permit $ 35.00 $ 2,00 E. Hisce11aneous (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 ~t? t:fI"'&' 5% State Surcharge /"2.. .''''' TOTAL . V":? .-p v