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HomeMy WebLinkAboutPermit Electrical 1994-1-12 -. - The following pro.isct as submitted has the following I ZO.l'I'g. Qr:d {~.~~S not req'Jiie spec:~jc land use : , 225 FIFTH STREET ~pp""d. .1' SPRINGFIELD, OREGON 97477 7"n1ng 1!1DI<. I INSPECTION REQUEST: 726-3769 -. '" OFFICE: . 726....3759 Dote 11/21'1'1 11':1 1. LOCATION OF INSTAt'&T~O~Slgnaturo. .ffi 'I, ?'2t:.4J':::>:z~ Lu-VE.l'f'" -_,,'" (;0, A. 11:1 LEGAL DESCRIFTION /7~~:C:~~~~ tJf:;J~y~ JOI!...1!..ESCRIPTION ~ ~6-:;t;P.. ____e;.MV~ F ': ,i Permi ts are non-transfer~bl~ and expire if work is not started w1th1n 180 days of issuance or if work is suspended for 1" 180 days. " , " I' , I , II i 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor f..{f--J.:-"<" /r-i.:,. II,' ;i: -.. ,-? Address _'> ~ ~ S. UJf (/i.. City s;. P {D Phone /),.; 'f . II ~,J.." " :' ,I Supervisor License Number . 3S 'r! S Expiration Date ;;-9S- " , Ii , , , Constr Contr. Number' S'lL{ 2. :s Expiration Date. 3-S-"1 '-f II,: Signature of SU2erviS g Electrician z:t a- - Ilf N .L____~ /"A_ ..... ',i1 Owners ame_~ ,;~ - / ~~ Address City Phone OIINER INSTALLATION 11" I The installation is being made on property I own which is not intended for sale, lease or rent. " , ii' II" Owners Signature: --------------------------------------- 1...../::2.70/ '/I--:>W / / ~.-, /7~ .- DATE: RECEIPT 11: RECEIVED BY: -- ELECTRICAL PERKIT APPLICATION Ci ty Job Number '9"?~ e,/ 3. COMPLETE FEE SCHEDULE BELOV unit. Cost Sum 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 $ 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 . E. 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 ItB" /"~ ~ above . New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 not included) Miscellaneous (Service/feeder ....Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy(Comm 5.. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 "',,"' - ..,..~- . - ch:~ "