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HomeMy WebLinkAboutPermit Electrical 1993-9-29 . . e 0 :owlng prole as su mftted hae the foil zoning, and does not require specific land u approval. 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769' OFFICE: 726-3759 Authorizod Signature ~/ - J. ':'Onl'wnr. FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION ::21"'",.<:;"' /:Y? A-M) Zoning Cot ,1A.qo, (\6/ LEGAL DESCRIPTION //7(/~ ~S- '3 ~ <S;3.t!TO JOB DESCRIPTION 111 () rr /Z- W- C-/ftu2.~ - ....,<J Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2." CONTRACTOR INSTALLATION ONLY B. Elec'trical Contractor~IlJ'-, hf!LWc- Address "2- (() uJ &.LJ" .::J:/~f_ Ci ty ~() (,6?Uf!< Phone ~ '7r 7-/ 3 b~ Supervisor License Number 36q-1-~ Expiration Date 10 L I /'7.5 1 f C. Constr Contr. Number 7'3 7 ~ 2- Expiration Date t ~ [, ~ 9 f Signa(~J;Z~:ician ELECTRICAL PERtUT APPLICATION Ci ty Job Number q::<,/ ,::>if') 7 _ A. Nev Residential-Single or Multi-Family per dvelling 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 Dvelling Service or Feeder $ 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above "! D. Branch Circuits f~lI77tJPK- Nev, Alteration or Extension Per Panel ..-.- Ovners Name TllLn ! '''<le.. Address ~!P ltflt ,JY.1:J Ci ty .Et4 Phone ~~ '1-82..2. '2... OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: -----------):T.---~-~------------- DATE: . '1/271'" 5' 3 RECEIPT. I: . r /10 ~_ f; / RECEIVED BY: 4?../':75..-1.. ) '\......- - - I 3'5@ One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 R. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 7f). (jtJ 5% State Surcharge j .7'/ TOTAL ?'In .-/1-7