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HomeMy WebLinkAboutPermit Electrical 1994-11-4 . . 7.' - SPRINGFIELD Tho,lollowing project as Gubmitted 'haG tho following · 225 FIFTH STREET zoning, and does not roquir. .pocmc land uSBLECTRICAL PERKIT APPLICATION SPRINGFIELD OREGON 974i1'proval. INSPECTION REQUEST: 726-3769Zoninp UPfL-, OFFICE: 726-3759 JI LJ-qu Del. - -, 3. COMPLETE FEE SCHEDULE BELOll 1. LOCATION OF }~NS'I,'~z.cWi\l'Mlur. 1-J fv---/ r-: C; ') () If)Q t. f5/}~;;S. K. d A. New l\esloential-Single or ~ / Mul ti-Family per dwelling uni t. LEGAL ,DESCRIPTION Service Included: /7fJ2. 2..'o!!. 00 00301. JOB DESCRIPTIO~ (I J! d/;/.!l../...4l at::....\,L) .2.D.!~ CJ.c'r;- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Ci ty Job Number 9' -f / (;, 7' .<:::; Items Sum Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular. Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders , Installation, Alterations Electrical Contractor:YJCK' f.4IR,{j- <1-5",. FleelJl,r Relocation: Address] It .is' .52 ",d 5/ City!f/eJ Phone 7"17 -~l>!J Supervisor License Number J 7 }.) $ Expiration Date Jo~C:lt Constr Contr. Number 77055' E .1 . D xplra tlon ate lo~ 1S Signature of Supervising Electrician ~4~,aZu-:A u,' ' t1;t?.vE Owners Name~/p.J' )-/~h/.L Address City Phone _7.l~ -f!}/Zr;, OllNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~AT~~--------{(/11?~~-------------- RECEIPT Jl: 'L 57'1:<; RECEIVED BY: -.z-ht':.. _ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits .' New, Alteration or Extension Per Panel <7-00) One Circuit i:-- $ 35.00 .::.). Each Additional Circuit or with Service or Feeder Permi t $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 35'.&v 5% State Surcharge 1,7r, 3% Administrative Fee ;.o,F. TOTAL ".( '7. s-o . - ,