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HomeMy WebLinkAboutPermit Electrical 1993-4-2 '1'h~. loliowing pro]ecl as' ' , ~ 225 FIITH STREET ;~~~~e~fnd does not re;~~e"'s~:~ff~S IhelIDEC'J.'!UCAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477' land Use n. F'\~ ( INSPECTION REQUEST: 726-3769jonlng. Cc..... City Job Number '-'1.9-,(.x.)( ) ,_ OFFICE: 726-3759 Oale_'t-Z. '73 .Auf1._,,- 3. COMPLETE FEE SCHEDULE BELOV L ~Ar9tl OF INS~T.J.A.TIoN'ized Signature JRII , I I (, n Q j, "- 'X"...L..L1J A. Nev-Res4deAt ial-Single or )( Multi-Family per dwelling unit. tl~~a~jIJON (')(4f0 - Service Included: . J~OB (flm~~~ 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 INSTALLATIfN_ ONLY Electrical Contracto~ sAY~.J PJ od't- Address r3~~~ tiu.:u" qqS Ci ty 2t D~ Phone..1..+tJ ():(q1 Supervisor Qicense Number ~~') _ I/J./.Qi CO/d)3 IIJ. J /0 .q~ Expiration Date Constr Contr. Number Expiration Date Sign~ ~, Supervising Electrician ,:/ / )!J1~ Yf1///,k .. Owners Name I H-tP ' Address~ ~ (\. 00rn0J Ci ty ~\o o..M Do) Phone ~I \?~ 1- <(() . M v...t.l\ INSTALLATION roDS S The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~ATE:_ -;:~. \ , .CfS,r,' ~--~-~----- RECEIPT I: \ ~. _ / / / L4----/ RECEIVED BY:Y]\l 1-..~. )' Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each,Hanuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "BtI above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circui t or wi th Service I or Feeder Permit f $ 35.00 .~~ $ 2.00 ~ E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 40.00 40.00 20.00 36.00 not included) 5. $ $ $ $ 6r"J.0J :~~'.~ ......; SUBTOTAL OF ABOVE 5% State Surcharge TOTAL