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HomeMy WebLinkAboutPermit Electrical 1993-8-25 Ltll" rJ d- 0/ )-P7 . SP~'ELD Th.9 fOtlO\Vir,n r"'I......r"".. zoni."":r . · l!l<:o ...,,!,.....r..."",.., " appro",', . ,~Ihq folloWlnpj use ELECTRICAL PERMIT APPLICATION I Ci ty Job Number 93 /O.'S'.3 225 FIFTH STREET SPRINGFIELD, OREGON 97477Zoni"g_U)~ INSPECTION REQUEST: Dr7.~~-3769 'if '?:? OFFICE: 726-3759 AUlh "~-=-- - -'i~ 1. LOCATION OF INSTAL::;;;i;~ntlura_~3. COMPLETE FEE SCHEDULE BELOII ?a. '6"'7 ~67l.J /)r A. Nev Residential-Single or \ dO "0" I (\DI\I\lV\ Mul ti-Family per dvelling uni t. LEGAL DESCRIPTION _ () ~ cIo. \ d.. ~lMJService Included: krit:-/~'j{ /IlC.~Z-Ie- };Itu',,- Items Cost )qr;f Sum $ 85.00 0--'). s.:-- I 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder JOB DESCRIPTIOft, . CJ/A/t;/!' ,P/b?'J//<-1 1lt?5.1I~C / r Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. $ 15.00 ">0_ <~ '? ~ $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders ) Installation, Alterations Electrical ContractorlJ!'W EJ"/!t /',LL"",-.or Relocation: Address 2'7'::- SU 4"JJ~7 J."'~n ::Un 200 amps or less j) 201 amps to 400 amps City! hVII"> ///'<... Phone?<;'I./-t../?/ 401 amps to 600 amps 601 amps to 1000 amps Supervisor License Number "3 c,t::IL/- S Over 1000 amps/volts Reconnect Only Expiration Date ,(; - I 95.. $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ,. C. Temporary Services or'Feeders Installation, Alteration or Relocation Constr Contr. Number &, /'} i!:'?-.. (,,- / '1 - / 'I $ 40.00 $ 55.00 $ 80.00 see "B" above 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Expiration Date Si~tUJ)f Supervising Electrician tU?/. , Zd/f t'Z.~ A Ovners Name tJ.tB;/l;Jt,) 111 /C(,//r.-;1ltA- D. Branch Circuits Nev, Alteration or Extension Per Panel F/~:r-I)J'" /I/. J Phone "')'")'3- &Yi'r- 7tP'7 Address i $ 35.00. One Circuit Each Additional Circuit or vith Service or Feeder Permit Ci ty fit,-l5nv '" I OIINER INSTALLATION $ 2.00 The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 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 ) ) S 5% State Surcharge S". ? Y" . TOTAL ' Owners Signature: DATE~--------P>-~~ ,y.::j ---------- RECEIPT I: f'c /. \n('),~ RECEIVED BY: \ -/ )106-.-) . / ?-...o,?r