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HomeMy WebLinkAboutPermit Electrical 1994-4-26 1'1' ':11 Ii · Ii:. 't, ,', Ii' " :. ':: ., , lill !i :1 . Tha following projact as submitted hootha followln II ',[ . zon1ng, and does not require specific land use III )!225 ,r..<... STREET approval. ELECTRICAL PERMIT APPLICATION_ , lSPRINGFIELD, OREGON 97477 M .... /) n,lI 1":.1 c('"A , II iiINSPECTION REQUEST: 726_3769",-oning-1.LlJ..}.1t::.- Ci ty Job Number, '-'M l .JtC:\ ~\ I !:OFFICE:. . 726-3759 c?ta-ff- '1-V-'{L( . II ,', . IJ 'l ~ COHPLETE FEE SCHEDULE BELOV '1. t.Q~TIOtkO.\' ,INST~ON.w.dSi"natura'TV"- . , 'I:-'.V\ 9. ' f-\ \ ,{\. .\ \\('1 )Q)\ \ I),a...L A. New Residential-Single or ~ Hulti-Family per dwelling unit. \\'.l~~~?.-<fPT~!\ri) . Service Included: '., . .... _? - /'.Q'A /1/ ",' Address .'):,.,.::> :; . lLL/' VI.- i:; ,i:i Ci ty s;. P.(D ,Ii i~' III Supervisor Licen;se Number 7,5 "1'7 S 1 il'! II II: j!" ; ,Ii Expiration Date 3 -s, -'1 '-I II' " ' :;t~tm~~oL%n~ Electridan.. _ . ~~ ?-J,,,,, .//---. D.' Branch Circui ts .' ,i Owners Name'-D. ~\Jt\ ~~ )("i,LUJL'=' j 1! Addr~ss 1 { 'I S cD.dYllr b . il;1 City ECq~ plione~.:3+<..~.,5lo9L 11 :, OVNER ~ALLATION II,: Ilil r:' . " .1'1 ,: .!k_\'f\o~ ~ll(guPTION cOl ~ 8" :'11 ..~ ,I,! - '. :: Permi ts are non-transferable and expire Ii! if work is not started within 180 days , 'i of issuance or if work is suspended for Ii:! 180 days. . '1,1 , ,i ii 2. CONTRACT~R INSTALLATION ONLY '1:1 I :.i Electrical Contractor I-fr-.R.:<.. /1-1.:.. Phone .....)\.; 'I .. It ("...1" Expiration Date //-9S-, Co~s tr Con t r. Number . 86/, L{ 2.. :s The installation is being made on property I own which is not intended for sale, 'lease or rent. J ' : 'i' ':I Owners Signature: .' DATE: RECEIPT. 11: RF.r.F.IVED BY: 7l'::?G-,,~ ....--....---....---- /2~.%.:;.1IJ>.~, 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 Cost Sum ~ ~. /10 ~O $ 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 or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see liB" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder ....Each installation Fump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Ci rcui t Each Addi donal Circuit or with Service. or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% 'State Surcharge TOTAL . $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 dOD .09, -if /. uu cx....Lf ).00_