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HomeMy WebLinkAboutPermit Electrical 1993-2-10 SJ>>'IINGl=IELD . .,. ~ "" ,...........p ~;J ..." ~ 'n{l iCJ~iv1;.;.g ~ . _.....,.....,.. ,Lol.;. _ ,- ,-e Th{> 101Ir.WI"'') ,', ,~" ..11 \;1 ::"I~";""""'; :',.;IU U.. ... 225 FIITH STREET zOl\inr" ana dees .1C,'"~' . ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 9747"pprovol. (? r __ INSPEC:ION REQUEST: 726_3769Zoninn J:\ -j3- OFFICE. 726-3759 D"'"_ '\ _\_V_ ~ 'r3 cnMDlKTH-FEE SCHEDULE BELOV 1. ~Q!:ATION R.F I~STALLAmN'rlZed Signature') . '() 0 <:"0 h ;ilQ \oJ ~ '1 ..... '\ ~ZJA. New Residential-Single or ,:J 110"-" <A V\ Multi-Family per dwelling unit. r- ~GAL DESCRIPTION' OO:-::ZO Service Included: h ;ill? W;l ~ ~ )('.I\o>-.....J Items JOB QESCRIPTION 1000 sq.ft. or less -r "'~., \ I C'eG pi- .po ~ ex '01"'. S S Q (;\;1, Each addi tional 500 \ sq. ft or portion Permits are non-transferable and expire thereof if work is not started within 180 days Each Manuf'd Home or of issuance or if work is suspended for Modular Dwelling '180 days. Service or Feeder 2. CONTRACTOR INSTALLATION ONLY B. Electrical ContractorCCE" hlit":, \i..~ EI,ij Address 2:3<" eJ. 5-tL- 1\,1-1.../ Ci ty G: \Ie. " "" Phone LJ 80 -1'105 '.l Supervisor License Number \ 388--5 Expiration Date \ 0 - \ - 9...:s Constr Contr. Number \ 08 IS Expiration Date ~ -C.1- <=t c.. Signature of Supervising Electrician 1<~\.Ji~~ Owners Na~e"J ';;\ V::1 \-i v1" ( S h ";l' n- Q<? ) Address f>o_ f.l 0)( (,,803 City t::'VGl7"'''' ~'?4(J IPhone J OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT I: RECEIVED BY: 25f~.? r ~ ~.-.-~. - 'P' City Job Number 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 '9"3'c:YS/9 Cost Sum $ 85.00 $ 15.00 $ 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 '"7 0' $ 35.00 ,).S~ $ 2.00 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 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 -3c'S ;::- \ ;-p ,,~ ~ . 7.:5