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HomeMy WebLinkAboutPermit Electrical 1994-9-21 ~. . SPRINGFIELD Th. following project as submitted h.. the foilo zoning, and do.. not require "peeills land use approval. Auth'Aizad Sigi18turo~ ;;CIIFLE'l'E FHH SCHEDULE BELOV 1. LOCATION OF INSTAL~ION 11'3'; ('"'11-1:.7 1'("1---/:1lJ-t....--' -U~li A. New Residential-Single or . ~ Multi-Family per dwelling unit. LEGAL DES~FTION Service Included: \)< ()7 ^1 A 7~u /) ~I 6D Items 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST:, OFFICE: 726-3759 97477 Zoning L-DtZ 726-3."HJfL.7-L/~~'t.. ' JOB DESCRIPTION ~11Jc.,. ~.(doA/ +-Y'.IJtL.f- I>1JN1<J)~ Vlt~ Permits are non-trans erable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, ELECTRICAi. PERMIT APPLICATION Ci ty Job Number q4~ 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 S 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders J D /, .1 Installation, Alterations Electrical Contractor Ac;.< /117/?((/( ';S'ClI1 'ua/fM:Dr Relocation: Address 3/ e, s-;, 1i~1I j ST Ci ty f,p IIn1 .fj:f/I Phone 7 <( -r '" ()'i /I Supervisor License Number '37"3 r:;- S" Expiration Date 1{)'1i"' Cons t r Con tr, Number '1?i1 ~- (" -..I&' Expiration Date /t:J-9., Signature of Supervising Electrician Y::A/~ 4Z~ Owners Name~JI^ Address \ \3S t.l....; 11\1--: .\ f' Yj~..a..... , Ci ty Sf ~ Phone 147 (p 52--0 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, Owners Signature: ---------------r,------~-i-------------- DATE:_ lL-~l~~ RECEIPT #: tt:;~':V RECEIVED BY: , A D~ 200 amps or less $ 50.00 60. <JD 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 LjO.tb Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE q O.r:/) 5% State Surcharge Lj,S:; 3% Administrative Fee 7_,70 TOTAL '17.71)