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HomeMy WebLinkAboutPermit Electrical 1994-7-18 . ... SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 zoning, and approvaL Zonlnpl '-De.- 974#48 /]/f(-Ct'f 726~ Slgna\Uftl JJ fY'-- 3. 1. LOCATION OF INSTALLATION t--.... ':?~ r ! t::,4/JJ);i;;/f/vk - ,,* , - , \ ~RAL...D~9UPTION ~ ".....\ -Dif )d...f I QW L--LJ--1 UU JOB I)E.,SCRIPTION A/7h~~ / v' 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. CONTRACTOR INSTALLATION ONLY Electrical Contractor 411-fM) ~~IG Address /':L .., IA/ ~ -p.P :5l CitY~A1 A--~<:.., Phone_1J?{," -::J..J.37 Supervisor License Number / f) tJ hS . Expiration Date /()- / -7'J- Constr Contr. Number~ fl'7.yJ- Expiration Date y- <Y--ly , Signature~f Supe vising Electrician .t2'.LIf-Sll./_ AA- ...... --1""",,-- Owners Na - l'\ L(l..rz.1\ Fftt AddressP?lq M ~9td - City ~- Phone~ o~J1k'~LATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~-:~------I'?~~~~ RECEIVED B~_) - ELECTRICAL PERMIT APPLICATION ~'.J'-Job Number ,91/t5Z:')~ COMPLETE FEE SCHEDULE BELOY A. 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 Dvel1ing Service or Feeder , 4- 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 uni t. Cos t Sum $ 85.00 8:S.. $ 15.00..3eJ $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 --IL~~DO ~.~") ...". .1!:l4.