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HomeMy WebLinkAboutPermit Electrical 1994-7-15 - -.' -~. ~h"'\hetolIOWing ~,J , Tho following oelllc land u... ':.4~ zoning, ana . . 225 FIFTH STREET apProval Il " I ' ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ~L/ INSPECTION REQUEST: 726-3769 Zonlnn 'Ci ty Job Number q~o q 107 OFFICE: 726-3759 Dote ')_1"-<14 1. L09}'g<)/jIOOF IN rized ~n~lure (\ ~ t;;OMPT 11'T'1l PBE SCUEDULE DELOV , pc.,;J.. . I~~. New Residential-Single or , ~~' ,Multi-Family per dwelling ~nit. , Service Included: ' : '" . . .' '\ Items Cost LEGAL DESCRIPT ON n O?"l.Z-Z-U 003OZ)" (I) ! N;1:tcro;~150y tLI21E-lnt ~ll1lAffi ~ ,H I r<.1~r- 4?//-rN ' .' Perml~s' are non-transfe~a6~e and expIre if work is not 'started within 180 days of issuance or' if work is suspended for '180 days. " " 2. CONTRACTOR INSTALLATI9N)rLY E~ical Contractor (~-n Address _ /J/O (ju/6bafth City twlth't/ Ph~ne 4~5' 6S1z/~ I Supervisor License Number t:; Ie; -SI IT Expiration Date 10- , - q 6 'constr Contr. Number q57 qJ.. }..- I r q~ Expiration Date Signature of Supervising Electrician ~~~l~/ ~ , Ollner~ Namejlau fLf'r'AD Iti.lir] qq n, f~e~ It~ Phone' A14 bj Address City OVNER INSTALLATION The installation is being made on E. property I Olin which is not intended for sale, lease or rent. Owners Signature: ~~~~~-------~----'1~TS-e:rt-~------- '5." RECEIPT fi:~1 ~\~ RECEIVED DY: Sum , 100.0. sq.!t. or l~ss Each additional 50.0. sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.0.0 $ 15.00 $ 40..00. D. 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 100.0 amps/volts Reconnect Dnly ':$ 50.00 $ 60.00 $100.00 , $130.00 $300..00 $ 40.00 I I C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 40.1 to 600. 'amps Over 600 amps or 1000 volts $ 40..00. $ 55.00 $ 80.00 see "D" above D. Branch 'Circuits New,' Alteration or Extension Per Panel One Circui t Each Additional' Circuit or with Service or Feeder Permit $ 35.00 $ 2.0.0. Miscellaneous (Service/feeder , -Each installation Pump or irrigation Sign/Outline Lighting ~, Limited Energy/Res Limited Energy/Comm no t included) SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 40.00. $ 20.0.0. $ 36.00. Lj(y,CjO " ~"O 4' \.'lP L1L'/Wt\~:p '