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HomeMy WebLinkAboutPermit Electrical 1993-12-29 ...., .............. .~.......... , 7lI",..~til'~ , ' . 1.11.1 ~."".,,.;;,~,,/f~I~~'siJe;,"'!!;"~.(, .,:, ~~ ~= t ._~"iM:""'''i:!..- .'=- 0< "1."" . - 225 FrITH STREET ........ ..", " '''';'''''''';'-ELEm1uCAL PERIlIT APPLICATION SPRINGFIELD, OREGON 97477 Z~";n" (flV INSPECTION REQUEST: 726-3769u.t~ 1~,'d:C{~'q~ --.,~="CityJob Number C/ .~/ -SZ,I OFFICE: 726.,3759 '. ../ .I AutllOrlz<xj Slj;ro6ll.:re). 1}-.ll0/iPLETE FEE SCHEDULE BELOV 1. LOCATION~JALLATION ~=---_.~__ /t9 8 <E; t!7tJ .& ~ _ A. New ResidentiiiT-Single or Multi-Family per dwelling unit, Service Included: LEGAL DESCRIPTION J.:Z /7 ~ "?t:.. / / 4..Lfif) , JOB DESCRIPTION ~.;tt' ~A/j7tl,() 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 Address City Phone Supervisor License Number Expiration Date 1000 sq,ft. or less Each additional 500 sq, ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 Items Cost Sum . $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date Signature ofSuperv!sing Electrician . D. Owners Name J",'J."e ; nlM.'fA1u1J / P-17'?eI Address-LI:JS~ ~J~}/!~. h, City ~~. Phone14r,.~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. O\lllers Signature: /7 _ )( ~.;.+ CL N~;;;P;-P / - ~hl: / -------",,-~--dj;tj,-::gq~- RECEIPTfi: ,/J _ \Id4v\ RECEIVED BY: '(/) (/)r) _ ) 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 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Ci.rcui t Each Additional Circuit or with Service 'or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL '-'" $ 35.00 3S:<'Q I $ 2.00~- not included) $ 40.00 $ 40.00 $ 20.00 S 36.00 .~7,.:J() /0~ ~~SJ'" ~ ';