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HomeMy WebLinkAboutPermit Electrical 1994-5-16 . . SPRINGFIELD. ,. Tho fOllowing pro' ot . 225 .FIFTH STREET zoning, and dcooJ~~l ~ ~~bmilb;~.. thoE~~CAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 appro,'a;, .".ITO SPOCnlC land use INSPECTION REQUEST: 726-3769 z. A " .I Ci ty Job Number 9 Va 7 2 Y OFFICE: 726-3759 onlOg ~ _ D.to ~-l1L-'llj 3. 1. LOCATION OF INSTALLAT,t9.N ' - ? -, ~ " /" -I- "'O('Zed Signature 1/ ~ "::>__-X..J( J L~ ~.JJJa,~1 . . .. ., LEGAL DESCRIPTION L?,~'Z:Z~2~ d/?~ JOB DESCRIPTION . ino:;f-all CcrV .'<",CU 1"/+-11 . " / 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 Electrical Contractor ...$-,n'-+r-I) SecllnYy Address P (). tS&x: c2/f)()Q City .Eupe..J:Ul Phone /-/fp/-5fn 7? {/ . Supervisor Licen.se Number _J.!ll?/l JLE Expiration Date In-/-qt, CO~PLETE PEE SCHEDULE BELOV New Residential-Single or Multl~ramlty per dwelling unit. Service Included: Items 1000 sq.ft. or less Each additional 500 ._sq. ft or portion thereof, , Each Manuf'.d Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: Cost Sum 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 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number /~"5/t./q C. Temporary Services or'Feeders Installation, Alteration or Relocation ,Expiration Date ~ -~g-90 Supervising Electrician Nl,~Ji~ .. Owners N~e {hi; , !J rne'( Add ress , <:;1/ mil, Signature of 1'\11,1,1 City Phone 72;;' - D.i. / OIINER INSTALLATION The. installation is being made on. property.I own_which, is not intended for sale, 'lease or rent. (lvn,ers Signature: ... \ DATE: ?~/~. "7'Y REw..o.t., 1:_j:2'?~ ,'. . RECEIVED BY: ~?:vJi:_';- . '/ . . 200 amps or less 201 amps to 400 amps Over. 401 to .600 amps Over 600 amps_or 100U,volts D.. Branch Circuits $ 40.00 $ 55.00 $80.00 see "B" above New, Alteration ot Extension Per Panel .. .. One Ci rcui t' Each Addi t Ional . .. Circuif.or wi'th Ser.vice or Feeder. Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Puinp or. irrigation Sign!(jutlin.~Lighting . Limit~d EnergyYRes .Limited Energy!Comm SJiliTOTAL OF ABOVE 5%'StateSurchaige TOTAL. ,. . '. , ',' .',. ':"'. ",.,-" E. 5. $40.00 $ 40.00 .$ 20.00 $ 36.00 36.OV ;J,yg ~ g. X-I? ~ "