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HomeMy WebLinkAboutPermit Electrical 1995-7-6 ~I 1he following projec1 as t;u,bmrn~d t,I:S tho f~llC zoning, and does not req'..llro sp€:Clh... land use 225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonino /..-...fJf!- n~f'\I, A l INSPEctION REQUEST: 726-3769~-f ~~ 'City Job Number ~\~ XJ (]l[ OFFICE: 726-3759' DaleF-l-t - 3~ rcOHPl-ETP 1>1>1> C:CHEOULE BELOV 1. ~~eN ~{~f{t~~~~(gna,",e A. \\LE~~~IONt01M ("\JOB PES~PTIQN ~ ~. ,~_ \l ~ '\'\1 ( J...!l.N" (,l.../ 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. CONTRACfOR INSTALLATION ONLY , Electrical Contractor JB Electric Address 1786 Ba 1 boa Street Ci ty Eaqene Phone 687-5770 Supervisor License Number --1a7?S ,;. Expfration Date 1n_'_Q~ .. .- Constr Contr. Number 84206~~ Expiration Date 6-22-95 sign~(t}re 1ff Su Ilf~n.g Electrician , ~ ~()-.A~ r) ~f'o- Owners Name SJ\,Y'flIlt.,J-o\A) i 0Q\, Add res s..J C{~Lo l~; \\aX<.ol\+l 0, City 1IJOft, Phone \Q~~'\\1J ) OVNER INS LATION The. installatioil'is beirig made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: R<....r..Lh w: RECEIVED BY: 7'"'~'~~ 1~_"2I'~ ./"L....-.J"7....." ~. , New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 1___ $ 85.00 ~~C /- $ 15.00 90.00 $ 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 D. .200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts 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 $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $, 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE J 7$.- 5% State Surcharge . . Q. 7~ .:reT.'<I.. '3'1. ~.v c::".2..r fD 77rL #; ~cf tn:J ,