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HomeMy WebLinkAboutPermit Electrical 1995-7-7 . e> zonhig; and does not rDqUlre cp€rCHic !s.nd ;J$O opproval. 225 PIFTH STREET 20"lno. W SPRINGFIELD, OREGON 974770rJ"P #'1.1'/ INSPECIION REQUEST: 726-37g~' tJ.^ OPPICE: 726-3759 Authorized Signature . IV\ 3. 1. LOCATION OF INSTALLATION 1// N7.#HY -?/ ~cC'/'"' . LEGAL DESCRIPTION /? -tt>3'-"5?.....-"""5? &::Jl!Grot:::> , . JOB DESCRIPTION /t1f) /~<'&-L"7"'5 ~p 7(G~~ - .'.. ,., (' . ~~ Permits are non-transferable and ex~i~e if vork is not started vi thiri 180 da'ys 'of issuance or if vork is suspended for '180 days. 2. CONTRACIOR INSTALLATION ONLY Electrical Contractor dL~ (.61( I Address ~'? C/2rJcKc<"f2 ".J City c.",~", Phone,{,Ktf /7,( \ - , , Supervisor Licen.se Number ~r (' Expiration Date /6/9r , Constr Contr. Number ~ rr-9 .Expi~ation Date 167~<f Sign~ture of Supervising Eiectrician ~/~ __.- ".-- - 'D' .,~ Owners N8f1e-1l##M;9"~5>~/~~~ Address /// /Z?$~. Ci ty ~L.z>_~; Phone' 7 ::&:;"~//,,::;/ OVNER IN~j\ur-6:~.? The. installatioil, is beirig made on property ,I ovn,vhi~h is not intended for liaie, 'lease or rent. .." . . . Owners. Signatu~e: .." .' DATE: RECEI~ I: . RECEIVED BY: o/~.[" .,."....~2(P... #'- -,":2--7 -, ELECTRICAL PERMIT APPLICATION City Job Number 9"'7/t:9 ?1!!3. COMPLETE PEE SCHEDULE BELOV ~ New Residential-Single or Multi~Family per dwelling unit. ' Service Included: Items Cost Sum A. 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 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 C. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps tQ :400 amps $ 55.00 Over 401 to 600 amps $,80.00 Over 600 amps,or 1000.voHs"see "B" above Branch Circuits New, Alteration or Extension Per Panel . .' "' One Circuit I .Each Additional . '. Circuifor wi'th Service, . 6rFeederP~imit . q 5,. stiBTOTAL O1"'ABOVE 5% 'State ,Surcharge ..T()T~. .: . '\- ~C;h"M~'\f\ H>~ E. ,Miscellaneous (Service/feeder -Each installation ruinp or. irrigation Slgn/,Ou tliheLighHng LAmit~d,EneriYjRes , Linii ted,Energy/Comm . ....: ";. -.'-.. .", $ 35.00 ~9- $ 2.00 /$. C>~ not included) $40.00 $ 40.00 '$ ,20.00 $.36;00 6&" ~., :? .q;--- '/.~ ~? =<'1'