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HomeMy WebLinkAboutPermit Electrical 1994-3-17 '~ The following project as submitted has the follow tt,' 225 FIITH STREET ~~I~'J.nd does not require speaie ~i.'tCliuCAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ~~ INSPECTION REQUEST: 726-3769 Zoning LOt?, Ci tyJob Number 7&.1"" CJZ:) / Z OFFICE: 726.,3759 Dete ':S-l'1-ct4 '* 1. LOCATION OF INSTALLATIOrfuthorlzed SlgnatureJh..v,reLETE FEE SCHEDULE BELOII , '2/'- '2... L/lcl-l 7lA'. A. New Residential-Single or , Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: 111?7,Z<;'" /2.- 02.SOV JOB DESCRIPTION ,/. .. 7"'b 5~~ A7}~~~d f Permits are non-transferable and expire if work is not started within 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY / Electrical Contractor If/.eu ~W//f > Address d 78' Z C~/r-J Phone 39'3-7<"--;7'7 ~ ~cJ-'5 n ,s9 City &.". , Supervisor License Number Expiration Date /0- ~y /7;L~2- / ~-7 Y Constr Contr. Number Expiration Date Signature of Supervising Electrician '\. ~,62~ ~"I>)& ogrs Name J?BD / /fATlP/..tI. )LHCA.wP D. Address ?//_2. kC# -ZU1. City ~~ Phone 72(, - ~7~~ O\INER INSTALLATION The installation is being made on property I own vhich is not intended for sale, lease or rent. Ovners Signature: DATE: RECEIPT #: RECEIVED ny: 3 -/7~?'/ ~~, /' ~ ..,.-'~" / \ 1000,sq.ft. or less -..Each addi tional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Items Cost Sum B. Services or Feeders Installation, Alterations or Relocation: I K5~ ~ 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 $ 85.00 ,~ t.J.~ $ 15.00 $ 40.00 $ 59.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ..c-yfJ;J C. Temporary Services or Feed~rs Installation, Alteration or Relocation 200 amps or less ~ 201 amps to 400 amps' Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "Bit above Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith 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 TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 S 36.00 I~.~- b,'5O, ~