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HomeMy WebLinkAboutPermit Electrical 1994-5-16 ~. .~ SPRINGFIELO__ 'Tha following project as submitted has tha foil zoning, and does not require specific land use approval. ELECTRICAL PERMIT APPLICATION Zoninp ~ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ,D"to , Authorized Signatt.irti 1. LOCATION OF INSTALLATION 5.r.; (".q G(ar.if/Y /JrJ'i/t'. City Job Number C;; 5/0 ?::<S 5- \ (P-9~ f-) ,~0J4PLETE FEE SCHEDULE BELOII , LEGAL DESCRIPTION '$-02 .~ y~/ _ d' ""::l'P&>P . JOB DESCRIPTION insfa/l ~<;aIJLjiJ./ 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 ....'5"'n'.l-ro/ ...'5ecurr'fj Address Pt). ~c2I()/)q City ;;--<ADI',nfl ~ Phone-,'Ih I-51" 7R' <J . Supervisor Licen.se Number IYJ,'r()~TLE Expiration Date /0 - 1- 9/r; Constr Contr~ Number (;;5/Ljq Expiration Date (;; ~.;;:r -96 Signature of Supervising Electrician /VJ . 1, 1 yV) ~r(J,;;t:) .~ owners Na,me&h.f-'~rbom !lvy Address ,<;d m/, City Phone '70/'/- .2 7t;;, 7 O\INER INSTALLATION The, installation is. being made 'on, property I own ,Which is not intended for sale,lease or rent. ,9wn~rs, Signature: DATE:. ?'7'tf:-'?V RECEIPT f: ' ,j27~?:. " RECEIVED BY: ///~' '/' A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof, $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to '400 amps $ 60.00 401 amps to 600 amps $100.00 601, amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less 201 amps tQ400 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 ,,' CircuiCor w,fth Service or Feeder Pe,rmi t $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -~ach installation Puinp or, irrigation $ 40.00 Sign/(jutlin~LighHng $ 40.00 Limited Energy/Res, 1$ 20.00 ..di1!2 LiniitedEnergy/Comm $36.60 . -. ", .,.^ -, ", 5,. StiliTOTALOP"ABOVE 5% State Surcharge ,TOTAL ,,' ,.., , ",' ':"'. ':'..... ;:) J'J tJD i. (of) _?I.I...(l