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HomeMy WebLinkAboutPermit Electrical 1994-4-14 The following projoct ao submitted h"" the follov zoning, and does not require spacKle land use approval, ' . 225 FIITII STREET ,L-Ot- ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 971,77 Zoning INSPECTION REQUEST: 726-376~te q-I4--tiY City Job Number Q40 :s~3, OFFICE: 726.,3759 Authorlz8d S1gnaturer--J .t'\--.- '" _ _', '~\."i ~.u . uu .:.etIEDULE BELOV 1. LOCATION 9F INSTALLATION /2 7~ I'f1'+wJc;u /612, AJ" A. New Residential-Single or , Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTIO~ /'7/J2. 2 ~ ~4- t!2.< '5' En) JOB DESCRIPTION ~A?, Ar)P/77/hJ , . 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 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Items Cost Sum , $ 85.00 $ 15.00 $ 1,0.00 B. Services or Feeders Installation, Alterations or Relocation: Electrical Contractor Address City Phone Supervisor License Number Expiration Date 200 amps or less 201 amps to 400 amps 1,01 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 $ 1,0.00 ConstrContr. Number C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date Signature of ,Supervising Electrician Owners' Nanie T(JJtt~g J ~~ /~.rd"'; Address.....L2 ?~ Ci ty ~pj). t-/Ayo&.J h. f€f), Phone "7# .~Z(P OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~s Signat~ C 'I-;-~!~--~t:t~*----~---- DATE: ~ \ . rr.err _;-. RECEIPT ~: \~J , J..:-).4-'--1---"1 RECEIVED BYt-1\Il){>--...,.r - 200 amps or less 201 amps to 1,00 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 1,0.00 $ 55.00 $ 80.00 volts see liB" above New, Alteration or Extension Per Panel One Circuit t--"" $ 35.00 3S.H Each Additional ~~fj Circuit or with Service or Feeder Permit 2- $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL not included) $ 40.00 $ 1,0.00 $ 20.00 $ 36.00 (jj ~'--' .Ijf+~ . "c--