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HomeMy WebLinkAboutPermit Electrical 1993-6-15 .. u .. SPRINGFIELD The. follo"\'i~[1 r~"";"''''''~ :"''' :",.'.:'.....'"....&, r.~" el(": 1,..,11. '''!.1g zenmg. and CVw:' ;;... r.::......._ ~. _, '.'__ approval. 225 FIFTH STREET 'vp\'2.- SPRINGFIELD, OREGON 97477 Zoning INSPECTION ~aUEST: 726;<"'3769 l.>115-L0~ OFFICE: 726-3759 A th ' d S' \.....,-, U onza Ignature ^ 1\-' 3._ 1. LOCATION OF )NSTALLATION JFJd/ Ul"/~/.Jir} A. ; LEGAL DESCRIPTION 1'"7 ()-:s ')J Xl O,S::::u", JOB I}ESCRIPTION ~ ~ftt(. ~~~~!) ~ S:~ 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 Address City Phone Supervisor License Number Expiration Date Constr Contr. Number .. ELECTRICAL PERMIT APPLICATION Ci ty Job Number 9 '=3 /? i-> 21"'- COKl!LETE-FEE SCHEDULE BELOV New Residential-Single or Multi-Family per ,dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feed~rs 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 , $ 50.00 ~ $ 60.00 $100.00 $130.00 $300.00, $ 40.00' C. Temporary Services or'Feeders Installation, Alteration or Relocation -- ,-' Expiration Date Signature of Supervising Electrician Owners Name ~~~_ dI.. ~ Address 10 tf/ L"clr!-i"V<:"L City'>? IL - of<e Phone 9 t/7- S S-:J. q . .__'.OJ OWER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ;ria,. ~ DATE~----~~-I-~----~~---------------- RECEIPT f; ~q/ RECEIVED BY: ?~. ./'7 ~. .J,A6 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 '$ 40.00 $ 55.00 $ 80.00 volts see "B" D., Branch Circuits 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 Lightin~ Limited Energy/Res Limited Energy/Comm 5.. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ ,2.00, not included) $ 40.00 $ 40.00 $ 20.00 . $ 36.00 Ck;>!""" ?5''D .c:i?S'O -. .