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HomeMy WebLinkAboutPermit Electrical 1993-5-28 . . SPRINGFIELD I r,Q fCllO'.vi.:g project C3 submrt1eti he..'3 the followini. ::. " ',r~~: ,:l.lld do:c no( roquire ~pcc:i:c land uce f...!.J.u.~. 225 FIFTH STREET Zonin" Lp R SPRINGFIELD, OREGON 97477 ~ /A INSPECfION REQUEST: 726""t3769~/_ J--It _13 OFFICE: 72'6-3759 AU!horized Signature rL. ~:;,. 1. LOCATION OF INSTALLATION ~5?54-,.c, /V__,__?tY7A//A7:~ A. LEGAL DESCRIPTION /-'2---.92 -e:S"2. '-:2:::; _ ~,~ JOB DESCRIPTION -!/.r~/f-~ / 2>A .&:f~q~- '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. CONTRACfOR INSTALLATION ONLY Electrical Contractor, ~* L/"/ ;:-~'Jv'5 Address-1f?p.~~~'""';.._'-~r ~ ~ Ci ty . ~ ~-"'f"""~ Phone ,.tt;~ '?"7?'=:; Supervisor License Number '~'f?S- 5 Expiration Date f 0-)- <1 <:;" Constr Contr. Number dt 0 ql <; Expiration Date if -//"-'1 L/ Signature of Supervising Electrician ,~ p f~\A/ Owners Name 'j) f P ~.1}r_/ ~ Address hhr dA-AA~/ OA/ - Ci ty e::~c. Phone~ -/75:7 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ,Owners ~ignature: 5'-;::<>g-7 :;> /KC// /7-~ r~- - DATE: RECEIPT f: RECEIVED BY: ELECTRICAL PERMIT APPLICATION Ci ty Job Number q;;?o.::2. S/2 c6Y.,'-~B FEE SCHEDULE BELOV New Residential-Single or Multi-Family per'dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less ~ $ 85.00 1!?S':"'=' ~ach additional 500 'sq. ft or portion thereof t-f $ 15.00 ~- Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 "B" above D. Branch Circuits ... New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ ,2.00 ' 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 OF ABOVE /75:"'-- 5% State Surcharge :7-~ TOTAL ' /?-;:;:.~~ "