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HomeMy WebLinkAboutPermit Electrical 1995-2-1 ,. . . .' The. following project as submitled has the fa zOning, and does not require specffic land us approvel. 97477 p,@(J.:- ELECTRICAL PERMg~pr~TION 726-3-R1.s ' .......f,ti'J City Job Number l :::>4; Authorized Signature U ^^ ~. . - COl:Pi:'~'.' """ ~CHEDULE BELOV LOCATION OF INSTALLATION /"%92 r V,I -<;-1- I I t' If~ D~;!~ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. 007dO JOB DESCRIPTION //l.C;+/1/f ~<:)f"OJ nO+y Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. A. New Residential-Single or Muiti-Family per dwelling Service Included: .P . . - ~... . uni t. Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Son it ro I Secur i ty or Relocation: \ Address P.O. Box 21009 City Euuene Phone 461-5678 Supervisor License Number ~~~1~t:T Expiration Date /f)- 1- q&, Constr Contr. Number 65149 Expiration Date 6-28-96 Signature of Supervising Electrician ~~r~' /?;.radf9' l!-:2f1:1e~ &ffdeJI At/'p Owners Name Address, ~3;}4 Ci ty z;,-'f7~YLP_ .r./ OVNER INSTALLATION Phone The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: --------------r-- ~ - --------------- DATE: cl--:- / - V:..;> RECEIPT jI: U/ (.tI / ({/ ~ . RECEIVED BY?">\... I YLa..J~ ~ 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 $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res ~ Limited Eneigy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee 'F.l'IHb r3woP $ 40.00 $ 40.00 $ 20.00 $ 36.00 .;Jt').(J1) do.em I.~m . (/2" -2,rJ. 00 , '-II. toO