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HomeMy WebLinkAboutPermit Electrical 1993-8-25 . . S~IELD ihs, foll.'''''"n Noject as submitted has tho following *' () '7 ~ 225 FIFTH STREET zon,n". . ,>oct fc4uiro s,,; ,,",,' ;..", uco ELECTRICAL PERKIT APPLICATION If. SPRINGFIELD, OREGON 974',]"' I ' INSPECTION REQUEST: 726-37.69,? t;(l~ Ci ty Job Number 9'5 /0:; ~ OFFICE: 726-3759 5 I . , r . , - Z-5::'1:? 11.1... ~ 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTAI,LATION';(jn:ture 'fl'Vv- . '7!)" 9.5" t5t40e/l...; - A-:-New. Residential-Single or I GOf\ f'/\\rJ Nll\N\ Multi-Family per dwelling unit. LEGAL DESCRIPTION C:>.o-lJOl.. ~ V~ W Service Included: L-o-r #- 137 ;t7e.KeIV2-Id AJd-L-.5, Items Cost Sum , . JOB DESCRIffION 1000 sq. ft . or less $ 85.00 ?S. c--- S / /1/&.l-e 'm1 i t..v, 12es/ /)E>>cG" Each additional 500 , I sq. ft or portion .:::s tJ I- .' Permits are non-transferable and expire thereof $ 15.00 - 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 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders ) Installation, Alterations Electrical ContractorlJ,: 0-.) E/"", ~l( TAlL or Relocation: Address:2 7'\ .5 W AI/'-p>-~ 1 ""J-.~ -=z!:! (S 200 amps or less / 201 amps to 400 amps Ci ty .r~f)lrl no / /; r Phone "}) 5'</- i, /7/ 401 amps to 600 amps 601 amps to 1000 amps Supervisor License Number ~ /~ tJ L/ -.5 Over 1000 amps/vol ts I () _ I - C)..--. .. Reconnec t Only Expiration Date / } Cons t r Con tr. Number ;;, ~ -ft, "1- l.,- 1';- 7L/ .. Expiration Date s~;:eo Z;;'%:JJician Owners Name &-t..G-A/AJ /11 ,c:o/~ Address 7''3 h/l.C-I'l.B'>:r j),r jt/,c,J Phone C))I!J -WJ r- Ci ty ~,9)Y11 1 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATi~--------- ;cr~~~ ------ RECEIPT I:. I rr '_ JOe)( j'C>-') RECEIVED BY: c:7) \ L l ~./ - $ 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 liB" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.0Q $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE I '"l, 0 ::;..-- 5% State Surcharge ~. rD TOTAL ' I ') ,~. )'0