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HomeMy WebLinkAboutPermit Electrical 1993-7-30 -. .~ SPRINGFIELD PG. To.'0\\'m9 prOject a$ su mitted hoo the followi ~C, :I,ng, &nd does not require specific land use approval. 225 FIFTH STREET . Zonina vOf2/ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 1:7'9 INSPECTION REQUEST: 726-~769_ ~~..l1? City Job Number Q30'XQ 51 OFFICE: 726-3759 Authorized Signature (Vv~ - .). .:.IlHFLETE PEE SCHEDULE BELOII 1. LOCATION OF INllTALLATION L-tS/....c., ~ <:;.JJ A. New Residential-Single or cr Multi-Family per dwelling unit, LEGAL DESCRIPTION Service Included, \~I'l"::l()S,/::l. ()9.<:;"nA Items Cost Sum JOB DES~PTION ~. V. 1U,s.. d:l S( ~ t:"2. 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 B. Electrical Contractor J-IALlCI< / J-It:n..... P-Ib<1l... . I Address 353 5, t/:?n+ Pt., City .5PFLiD. tO~, Phone 71/1/-/165 9'747~ Supervisor License Number 357'7,s' Expiration Date 3-95 Cons tr Con t r, . Number ft 9'-/:i3 Expiration Date -:?- 9t.J. .. " Signature of Supervising Electrician &} jf'~ Owners Name ~~. ~ Address p(), B.M ;::}':)l:a.t-, r ,(\ '1JL/O;). City~"" .n"" Phone l","'jJq,,,,<:),-'7 OIINER qNSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: :~~~-:~'7~~:r-~--4;-~~~~----- RECEIVED BY: (- (L Y l y.J.ii .~ -- 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof ~ Each Manuf'd Home or Modular Dwelling Service or Feeder 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 $ 85.00 ~5 $ 15.00 Lf() $ 40.00 $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80,00 see "B" ~ above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 40,00 $ 20,00 $ 36,00. n<=;ft .XC::. .2.. s- '?"31''>l,~ \ lOS r;D 8'~